Adjusting & Manual Therapy 211: Partner Assisted Stretching | Chiropractic CE | CCEDseminars

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

1. Describe the anatomical targets and procedural steps for partner assisted hamstring stretching, including biceps femoris and semimembranosus/semitendinosus-specific variations.
2. Differentiate PNF stretching techniques — Hold Relax (HR), Contract Relax (CR), and Hold Relax Agonist Contract (HRAC) — and apply each to appropriate clinical scenarios.
3. Explain the neurophysiological basis of Post-Isometric Relaxation (PIR) and Post-Facilitation Stretch (PFS) and correctly apply each technique for spinal and extremity musculature.
4. Demonstrate proper partner assisted stretching technique for cervical, thoracic, and lumbar spine regions, including passive stretch, PIR, and Hold Relax protocols.
5. Execute partner assisted stretching for lower extremity muscle groups including piriformis, hip flexors, and tensor fascia lata/iliotibial band using appropriate patient positioning and contraction parameters.
6. Apply upper extremity partner assisted stretching protocols for pectoralis minor and major, latissimus dorsi, and glenohumeral joint internal and external rotation.

I. Hamstring Stretching

• Partner Assisted Hamstrings Stretch: Hip & Knee Flexed
• Partner Assisted Hamstrings Stretch: Knee Extended — Biceps Femoris variation
• Partner Assisted Hamstrings Stretch: Knee Extended — Semimembranosus/Semitendinosus variation
• PNF: Hold Relax (HR) — isometric contraction followed by passive static stretch
• PNF: Contract Relax (CR) — isotonic contraction followed by passive static stretch
• PNF: Hold Relax Agonist Contract (HRAC) — isometric + static + antagonist isotonic contraction
• Pre-Contraction Stretching: Post-Isometric Relaxation (PIR) — less than 25% contraction
• Pre-Contraction Stretching: Post-Facilitation Stretch (PFS) — Dr. Janda method (maximal contraction at mid-range, rapid stretch to max length)
• Mulligan Traction Straight Leg Raise Stretch (TSLR)

II. Cervical Spine

• Cervical Spine Stretch: Supine — passive stretch for cervical paraspinals, trapezius, levator scapula, scalenes, SCMs, suboccipitals
• Cervical Spine PIR: Supine — PIR protocol with <25% isometric contraction

III. Thoracic and Lumbar Spine

• Hold Relax (HR): Thoracic Spine — quadruped position, 75–100% isometric contraction
• Hold Relax (HR): Lumbar Spine — quadratus lumborum "Banana Stretch," supine
• Partner Assisted Lumbar Spine Stretch: Side-Lying

IV. Hip and Lower Extremity

• Partner Assisted Piriformis Stretch: Side-Lying
• Partner Assisted Piriformis Stretch: Supine
• Partner Assisted Hip Flexors Stretch
• PIR: Tensor Fascia Lata and Iliotibial Band — side-lying, <25% contraction

V. Upper Extremity and Shoulder

• Passive Stretching: Bilateral Pectoralis Minor — seated scapular retraction
• PIR: Bilateral Pectoralis Major — supine, 90° and 150° shoulder abduction variations
• PIR: Latissimus Dorsi — side-lying, shoulder abduction
• PIR: Glenohumeral Joint Internal Rotation — supine 90/90 position
• PIR: Passive Horizontal Adduction (Cross-Body Stretch) — supine 90/90 position
• Shoulder Assisted External Rotation Stretch — wall-assisted progressive technique
• PIR: Glenohumeral Joint External Rotation — supine 90/90 position

VI. Core and Trunk

• PIR: Obliques Basic — lateral flexion on fitball
• PIR: Obliques Advanced — lateral flexion with rotation, two progressions
• Evidence-Based Stretching Guidelines: PNF timing relative to high-intensity exercise
• Dynamic Movements as stretching in warm-up contexts

How to Join: The course title in your account is the access link. No software installation is required. The course is accessible through any modern browser on desktop, tablet, or mobile devices.

This is a self-paced online course available on demand. Once registered, you can access the course content at any time from your CCEDseminars account.

A CE certificate is issued upon successful completion of the course evaluation. Please retain your certificate for state licensing board submission.

CCEDseminars is a PACE-approved provider through the Federation of Chiropractic Licensing Boards (FCLB). PACE Provider #: 34015544.

Questions about your state's approved credit hours? Contact us at info@ccedseminars.com.

What techniques are covered in this course?

This course covers partner assisted hamstring stretching, PNF techniques (Hold Relax, Contract Relax, Hold Relax Agonist Contract), Post-Isometric Relaxation (PIR), Post-Facilitation Stretch (PFS), Mulligan Traction Straight Leg Raise, and stretching for the cervical, thoracic, and lumbar spine, piriformis, hip flexors, TFL, pectoralis minor and major, latissimus dorsi, obliques, and glenohumeral joint.

How many CE hours does this course provide?

This course provides 2 continuing education (CE) hours for licensed chiropractors.

Who teaches this course?

Dr. Donald Ozello, DC, CCN, CCSM — a Certified Chiropractic Sports Medicine practitioner and Certified Clinical Nutritionist who has treated professional MMA fighters and NFL players.

How do I access this course after registering?

The course title in your account is the access link. No software installation is required. The course is accessible through any modern browser on desktop, tablet, or mobile devices.

What is the cost?

Adjusting & Manual Therapy 211: Partner Assisted Stretching is available for $40.00.

Is this course approved for CE credit in my state?

CCEDseminars is a PACE-approved provider (FCLB Provider #34015544). State-specific approvals vary. Please check the State Approvals section on this page or contact us for details about your state.