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Adjusting & Manual Therapy 211 — at a Glance
| Course: | Partner Assisted Stretching · 2 CE hours · $40 |
| Faculty: | Donald Ozello, DC, CCN, CCSM · sports-medicine chiropractor and extremity care specialist |
| Format: | On-demand online video with technique demonstrations and assessment · downloadable notes · instant certificate |
| Pricing: | $20/hr · automatic 10% off at 6–9 hrs, 20% off at 10+ hrs in one order · no promo codes |
| Approval: | PACE Provider #34015544 · co-sponsored by Texas Chiropractic College · acceptance varies by state |



Board-approved · PACE Provider #34015544 · CE Broker auto-reporting for states served · Instant certificate
Adjusting & Manual Therapy 211 delivers step-by-step instruction in evidence-informed partner assisted stretching for every region of the spine and the upper and lower extremities — the soft-tissue work that decides whether an adjustment holds. Dr. Donald Ozello demonstrates passive stretching, the three PNF methods (Hold Relax, Contract Relax, and Hold Relax Agonist Contract), the pre-contraction techniques of Post-Isometric Relaxation and Dr. Janda's Post-Facilitation Stretch, and the Mulligan Traction Straight Leg Raise, each with patient positioning, contraction parameters, and the neurophysiology that separates one from the next.
The regional survey is complete: hamstrings by muscle group, cervical paraspinals through suboccipitals, thoracic and lumbar Hold Relax, side-lying lumbar, piriformis in two positions, hip flexors and TFL/IT band, pectoralis minor and major, latissimus dorsi, glenohumeral internal and external rotation, cross-body stretch, and obliques on the fitball — plus the evidence on when to stretch relative to high-intensity exercise. This 2-hour online course is built for the doctor who wants a stretching toolkit that is specific, not generic, and applies the next morning. Every completion generates an instant certificate for your renewal file.
Choose Your Adjusting & Manual Therapy CE Path — Three Lanes, One Curriculum
The catalog is organized as a curriculum, not a pile of hours — eleven 2-hour courses covering the whole kinetic chain from TMJ to toe. Start in the lane that matches your patient mix; the full catalog lives on the Adjusting & Manual Therapy category page.
1 · Spine, Ribs & TMJ
The axial skeleton and its cage — cervical through pelvis, the costals, and the table-assisted delivery that serves all of them.
202: Adjusting the Costals
207: Thoracic Spine & Rib Cage
208: Cervical Spine & TMJ
209: Lumbar & Pelvic Techniques
210: Drop Table Technique
2 · Extremities
Shoulder to hand and hip to foot — the appendicular territory most catalogs leave thin.
203: Shoulder Treatment Techniques
204: Lower Extremity Techniques
205: Upper Extremity Techniques
206: Hip, Thigh & Knee
3 · Soft Tissue & Assisted Methods
The work around the adjustment — myofascial reasoning and partner-assisted stretching that make joint corrections last. You are here: Adjusting & Manual Therapy 211.
201: Myofascial Dysfunction
211: Partner Assisted Stretching
New technique courses are added to these lanes as faculty release them.
What You'll Learn in Adjusting & Manual Therapy 211
• Differentiate the PNF techniques — Hold Relax (isometric then static stretch), Contract Relax (isotonic then static stretch), and Hold Relax Agonist Contract — from the pre-contraction methods, Post-Isometric Relaxation (under 25% contraction) and Janda's Post-Facilitation Stretch (maximal mid-range contraction, rapid stretch), and apply each to the right clinical scenario.
• Execute partner assisted hamstring stretching with biceps femoris and semimembranosus/semitendinosus-specific variations in hip-and-knee-flexed and knee-extended positions, plus the Mulligan Traction Straight Leg Raise.
• Demonstrate spinal protocols — supine cervical passive stretch and PIR, quadruped thoracic Hold Relax at 75–100% contraction, the lumbar quadratus lumborum “banana stretch,” and side-lying lumbar — and lower-extremity work for piriformis, hip flexors, and TFL/iliotibial band.
• Apply upper-extremity and core protocols — pectoralis minor and major, latissimus dorsi, glenohumeral internal and external rotation in the 90/90 position, cross-body stretch, wall-assisted external rotation, and basic and advanced oblique PIR on the fitball — with evidence-based guidance on PNF timing relative to exercise.
Your Adjusting & Manual Therapy Faculty
Donald Ozello, DC, CCN, CCSM — instructor of this course — leads nine of the eleven courses in the series (203–211), shoulder through foot, spine, drop table, and partner-assisted stretching. A 1995 graduate of the Los Angeles College of Chiropractic, Navy veteran, and founder of Championship Chiropractic, Dr. Ozello is certified in sports medicine and clinical nutrition and serves as faculty for CCEDseminars and Texas Chiropractic College. He also authors the CCEDseminars Athletic Injuries series, and his clinical philosophy — injury prevention, functional recovery, and long-term performance from elite athletes to aging adults — runs through every technique module he teaches.
Michael Hall, DC, FIACN teaches costal adjusting (202) with a chiropractic neurologist's perspective — rib mechanics, respiratory linkage, and the neurological reasoning behind thoracic cage work. A Fellow of the International Academy of Chiropractic Neurology, Dr. Hall also leads the CCEDseminars Neurology series.
Howard Benedikt, DC, DCBCN opens the series with myofascial dysfunction (201), framing soft-tissue evaluation within whole-patient physiology from his board certification in clinical nutrition.
Full bios and the complete instructor roster: CCEDseminars faculty page.
Where Adjusting & Manual Therapy Hours Count — State Rules Worth Knowing
Technique is core clinical subject matter, which is exactly what several state boards ask for. In Iowa, technique hours feed the 36-hour clinical case-management minimum; in Rhode Island, they serve the 50-of-60 clinical requirement; in Vermont — where practice-management and philosophy coursework earns no credit at all — technique sits squarely inside the clinical-focus rule; and in Montana, where philosophy is capped at 2 of 12 hours, technique fills the clinical balance cleanly.
Online-format allowances still vary by state — some accept every hour online, others cap distance learning or require in-person blocks. Check your state's guide in the full state directory before building your renewal plan.
Build Your Technique Block
Every course in the series is 2 hours at $40, so the automatic discounts do the bundling for you: any three courses (6 hours) earns 10% off, and five or more (10+ hours) in a single order earns 20% off — the full 22-hour series lands at roughly $352 instead of $440, with no promo codes. The natural pairing for this course is 201 Myofascial Dysfunction, the reasoning behind the tissue these stretches target, and then whichever adjusting course matches your patient mix — 209 for the lumbar and piriformis protocols, 203 and 205 for the shoulder and pectoral work. Browse Adjusting & Manual Therapy Courses
Adjusting & Manual Therapy 211 — Frequently Asked Questions
What does Adjusting & Manual Therapy 211 cover?
Partner assisted stretching for the spine and extremities: hamstring stretching by muscle group, PNF techniques (Hold Relax, Contract Relax, Hold Relax Agonist Contract), Post-Isometric Relaxation, Post-Facilitation Stretch, the Mulligan Traction Straight Leg Raise, and regional protocols for the cervical, thoracic, and lumbar spine, piriformis, hip flexors, TFL and iliotibial band, pectoralis minor and major, latissimus dorsi, glenohumeral joint, and obliques. Also known as assisted stretching, PNF stretching for chiropractors, post-isometric relaxation technique, muscle energy technique, facilitated stretching, and manual stretching therapy.
How many CE hours is Adjusting & Manual Therapy 211, and what is the format?
2 CE hours, fully online and self-paced — video-supported instruction with technique demonstrations for each stretch, including positioning and contraction parameters, followed by an assessment. Your certificate is available in your account immediately upon completion, and enrollment includes one year of access.
What is the difference between PNF stretching and post-isometric relaxation?
PNF techniques such as Hold Relax and Contract Relax use a strong contraction (75–100% in the thoracic protocol taught here) followed by a passive static stretch, while Post-Isometric Relaxation uses a light isometric contraction of less than 25% followed by a gentle lengthening, and Janda's Post-Facilitation Stretch uses a maximal contraction at mid-range followed by a rapid stretch to maximum length. The course explains the neurophysiological basis of each so you can choose by tissue, patient tolerance, and clinical goal rather than habit.
Is this course accepted for my state's chiropractic license renewal?
Adjusting & Manual Therapy 211 is a PACE Provider #34015544 program co-sponsored by Texas Chiropractic College and is accepted in most U.S. states plus the District of Columbia and Puerto Rico, six Canadian provinces, and more than 50 international jurisdictions. The complete approval list appears at the bottom of this page, and your state's online-hour rules are summarized in its CE guidelines page.
How do discounts and certificates work?
Courses are $20 per credit hour, and discounts apply automatically in a single order — 10% off at 6–9 hours, 20% off at 10 or more. No promo codes. Each completion generates an instant certificate with a permanent copy in your account dashboard, and CE Broker reporting is handled automatically for states served.
State Approval and Licensing Reminder
Continuing education requirements — including online-hour caps and clinical-hour minimums — vary by jurisdiction. Review the online chiropractic CE guidelines page and contact CCEDseminars with questions about your specific licensing requirements before registering.
Ready to Enroll in Adjusting & Manual Therapy 211?
2 CE hours · $40 · online & self-paced · instant certificate. Add it to your cart, or pair it with 201 to complete the soft-tissue lane.
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated August 24, 2026 (CT)

