Clinical Orthopedic Manual Therapy (COMT) for the Upper extremity covers the major clinical orthopedic assessment and treatment techniques for the upper extremity. This course is a 2-day hands-on workshop.

Day one begins with palpation assessment of the muscles of the shoulder joint complex. We then continue with guidelines for proper body mechanics when performing soft tissue manipulation of the muscles of the upper extremity; you will learn how the upper extremity can be worked deeply with little effort. Next, we cover how to apply pin and stretch stretching technique. We continue with special orthopedic assessment tests and postural examination for conditions of the upper extremity. And we complete the day with stretches for the muscles of the upper extremity, including how to apply principles of multiplane stretching.

Day two begins with joint mobilization for all the joints of the upper extremity. Joint mobilization is the only effective means of stretching specific nonaxial hypomobilities of the upper extremity joints. We then conclude the day with advanced neural inhibition stretching techniques, including Contract Relax (PNF/PIR), Agonist Contract (the basis for AIS), and Contract Relax Agonist Contract stretching techniques. Clinical treatment strategy and planning as well as precautions and contraindications are also covered. These manual therapy skills will empower you to do effective clinical orthopedic work. Throughout this hands-on workshop, Dr. Joe Muscolino reinforces the underlying mechanisms for each of the assessment and treatment techniques, encouraging critical reasoning skills.

Clinical Orthopedic Massage Therapy for the Upper Extremity is part of a larger Clinical Orthopedic Massage Therapy (COMT) Certification. The other hands-on workshops in this series cover the neck, low back / pelvis, and lower extremity.


After attending this workshop, the participant will be able to:

  1. Explain and demonstrate the principles of using core body weight and larger muscle groups for efficient body mechanics.
  2. Perform orthopedic assessment tests for the upper extremity to determine the ability to safely perform deep soft tissue manipulation, stretching, and joint mobilization.
  3. Explain the fundamental concepts of stretching and apply these concepts to the musculature of the upper extremity.
  4. Demonstrate how to stretch each of the functional muscle groups of the upper extremity.
  5. Explain and demonstrate how to stretch each of the muscles of the upper extremity in all three cardinal planes.
  6. Explain the physiologic basis for and demonstrate how to perform contract relax (CR; also known as PIR/PNF) stretching, agonist contract (AC) stretching, and contract relax agonist contract (CRAC) stretching techniques. 7. Explain the physiologic basis for and demonstrate how to perform (Grade IV) joint mobilization of the upper extremity.


About the Lecturer

  • Dr. Muscolino is a licensed chiropractic physician and teaches anatomy, physiology, and nutrition at Purchase College, State University of New York (SUNY). Dr. Joe Muscolino also taught kinesiology and musculoskeletal and visceral anatomy, physiology, and pathology courses at the Connecticut Center for Massage Therapy (CCMT) from 1986 – 2010.
  • Dr. Muscolino is also an approved provider by the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) for continuing education (CE) credit for massage therapists and bodyworkers and runs numerous advanced study workshops, including deep tissue, advanced stretching, joint mobilization, and palpation workshops, as well as cadaver labs.
  • He also runs in-services for instructors of massage therapy, covering topics such as how to teach muscles, muscle palpation, kinesiology, and more; as well as in-services for Pilates and yoga instructors and fitness trainers on all subjects of musculoskeletal anatomy and physiology, and kinesiology.
  • Dr. Muscolino has a private Chiropractic practice in Fairfield, CT.



Course Date and Venue

Course title:Clinical Orthopedic Manual Therapy (COMT) - Upper Extremity
Date: 3 - 4 August 2015
Time: 9:00am-6:00pm
Venue: TBA
Fees: S$850 per person
Closing date for registration: 20 July 2015
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