Clinical Curriculum Module

DRT Lower Extremity

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

  • 32 CE hours (pending approval)
  • Teaches all four DRT methodologies
  • 1:8 instructor ratio
Lower Kinetic Chain ProtocolLower Extremity & Pelvic Complex
Clinical instruction for physicians & assistants

Passive Lower Extremity Mastery

Hands-on clinical positioning for hip, knee, ankle, foot, and sciatic neurovascular releases.

DRT Lower Extremity provides advanced instruction in the assessment and treatment of soft-tissue restrictions involving the feet, ankles, lower legs, knees, thighs, hips, and surrounding structures.

  • Pelvic & Hip Release
  • Knee & Patellar Glide
  • Ankle Retinaculum
  • Plantar Aponeurosis
Official Course Description

Detailed clinical curriculum breakdown

Part 1

Assessment & Soft-Tissue Restriction

DRT Lower Extremity provides advanced instruction in the assessment and treatment of soft-tissue restrictions involving the feet, ankles, lower legs, knees, thighs, hips, 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

Positioning, Safety & Sequencing

The course emphasizes controlled lower-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

Anatomical Review

In-depth review of hips, thighs, knees, lower legs, ankles, and feet muscles, tendons, fascia, and neurovascular entrapments.

Passive Movement Protocols

Physician-assisted lower limb mobilization without active patient resistance under unconscious or passive anesthesia conditions.

Anesthesia Team Safety

Seamless coordination with anesthesia professionals to ensure proper patient positioning, monitoring, and soft-tissue sequence.

Six essential zones

Targeted Lower Anatomical Regions

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

Anatomical illustration: Hips, Gluteal Complex and Pelvic GirdleZone 01Gray’s Anatomy, 1918

Hips, Gluteal Complex & Pelvic Girdle

Gluteus medius/minimus, piriformis, deep hip rotators & acetabular labral capsular restrictions.

Included in Practical Lab
Anatomical illustration: Thighs, Quads and Hamstring CompartmentsZone 02Gray’s Anatomy, 1918

Thighs, Quads & Hamstring Compartments

Rectus femoris, vastus musculature, biceps femoris, semitendinosus & iliotibial (IT) band fascia.

Included in Practical Lab
Anatomical illustration: Knees and Patellar Tendon StructuresZone 03Gray’s Anatomy, 1918

Knees & Patellar Tendon Structures

Patellofemoral tracking, collateral & cruciate ligamentous tension, popliteus & meniscal margins.

Included in Practical Lab
Anatomical illustration: Lower Legs and Tibial SheathsZone 04Gray’s Anatomy, 1918

Lower Legs & Tibial Sheaths

Anterior/posterior compartments, tibialis anterior, gastrocnemius, soleus & interosseous membrane.

Included in Practical Lab
Anatomical illustration: Ankles and Achilles RetinaculumZone 05Gray’s Anatomy, 1918

Ankles & Achilles Retinaculum

Talocrural & subtalar joint mobility, Achilles tendon insertion, inferior/superior peroneal retinaculum.

Included in Practical Lab
Anatomical illustration: Feet, Plantar Fascia and Digital MechanicsZone 06Gray’s Anatomy, 1918

Feet, Plantar Fascia & Digital Mechanics

Plantar aponeurosis, flexor digitorum brevis, tarsal tunnel nerve pathways & intrinsic foot arches.

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 lower extremity lever 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 Lower Extremity Protocol

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