Clinical Curriculum Module

DRT Upper Extremity

Advanced instruction in soft-tissue restrictions, passive movement assessment, and precise manual manipulation of the upper kinetic chain.

  • 32 CE hours (pending approval)
  • Teaches all four DRT methodologies
  • 1:8 instructor ratio
Passive Release ProtocolUpper Limb Kinetic Chain
Clinical instruction for physicians & assistants

Passive Upper Extremity Mastery

Hands-on clinical positioning for shoulder, brachial plexus, elbow, forearm, and wrist releases.

DRT Upper Extremity equips clinicians with specialized passive mobilization and soft-tissue release methods. Under controlled anesthesia settings, patients remain fully passive, enabling uninhibited assessment of deep fascial barriers and joint restrictions.

  • Passive Joint Motion
  • Anesthesia Protocols
  • Fascial Plane Release
  • Osseous Manipulation
Official Course Description

Detailed clinical curriculum breakdown

Part 1

Assessment & Soft-Tissue Restriction

DRT Upper Extremity provides advanced instruction in the assessment and treatment of soft-tissue restrictions involving the hands, wrists, forearms, elbows, upper arms, shoulders, and surrounding structures. Attendees review the relevant muscles, tendons, ligaments, fascial planes, connective tissues, and neurovascular structures while learning the appropriate application of Dynamic Release Techniques.

Anatomy & Palpation
Part 2

Passive Physician-Assisted Movement

Because the patient may be unconscious under anesthesia, all positioning and movement are performed passively by the treating physician and trained assistant. The patient does not actively contract, resist, or control the movement. This allows the physician to assess tissue tension, joint restriction, adhesions, and movement barriers while applying precise Passive Release Techniques before progressing to osseous manipulation when clinically appropriate.

Anesthesia Setting
Part 3

Sequencing & Patient Safety

The course emphasizes controlled upper-extremity positioning, physician-assisted movement, tissue-specific contact, patient safety, communication with the anesthesia team, and the proper sequence of soft-tissue treatment and manipulation.

Safety & Sequencing
Six essential zones

Targeted Anatomical Regions & Structures

Each zone is covered in the online anatomy review and practiced hands-on in the lab.

Anatomical illustration: Shoulders and Rotator Cuff ComplexZone 01Gray’s Anatomy, 1918

Shoulders & Rotator Cuff Complex

Subscapularis, supraspinatus, infraspinatus, teres minor & glenohumeral capsular restrictions.

Included in Practical Lab
Anatomical illustration: Upper Arms and Brachial FasciaZone 02Gray’s Anatomy, 1918

Upper Arms & Brachial Fascia

Biceps brachii, brachialis, triceps, intermuscular septa & deep brachial fascia.

Included in Practical Lab
Anatomical illustration: Elbows and Forearm CompartmentsZone 03Gray’s Anatomy, 1918

Elbows & Forearm Compartments

Medial/lateral epicondylar tendinopathies, pronator teres, flexor/extensor compartments.

Included in Practical Lab
Anatomical illustration: Wrists and Carpal Tunnel StructuresZone 04Gray’s Anatomy, 1918

Wrists & Carpal Tunnel Structures

Transverse carpal ligament, flexor retinaculum, radiocarpal & intercarpal joint mobility.

Included in Practical Lab
Anatomical illustration: Hands, Fingers and Retinaculum BandsZone 05Gray’s Anatomy, 1918

Hands, Fingers & Retinaculum Bands

Palmar aponeurosis, thenar/hypothenar eminences, lumbricals, interossei & digital sheaths.

Included in Practical Lab
Anatomical illustration: Surrounding Neurovascular BundlesZone 06Gray’s Anatomy, 1918

Surrounding Neurovascular Bundles

Median, radial, ulnar nerve pathways, brachial plexus entrapment zones & vascular flow.

Included in Practical Lab

Anatomical plates: Henry Gray, Anatomy of the Human Body (1918), public domain, via Wikimedia Commons.

Hands-on lab

Immersive Clinical Environment

Attendees receive personal guidance from certified DRT faculty, practicing vector angles, tissue tension palpation, and safe positioning maneuvers on live subjects in first-class seminar venues worldwide.

1:8Instructor ratio
16In-person hands-on hours
32CE hours (16 online + 16 in person), pending approval
Hands-on lab at a DRT seminar

Explore the other regions

Master the Upper Extremity Protocol

Join leading healthcare professionals in our upcoming destination seminars and add DRT Upper Extremity to your clinical skillset.