Course Content
Basic Information
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Chapter 1: Introductory Concepts and Review of Graston Essential Training Strokes
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45 Topics
Advanced Applications
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Social Media
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Meet Your Instructors
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Conflict of Interest
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Disclaimer
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Disclaimer (cont.)
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Graston Technique, LLC
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Prohibited During Training
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More Than Just a Name
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Please Be Careful
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The Graston Technique® Training Series
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GTS Credential
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Non-Completion Policy
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Advanced Course Materials
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Preferred Provider Program (i)
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Preferred Provider Program (ii)
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Preferred Provider Program (iii)
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Advanced Course Topics
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Administrative
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GT Therapy is Multidisciplinary
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GT Therapy
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Advanced Course Description
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Advanced Course Objectives
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Advanced Course Objectives (cont.)
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Advanced GT Therapy Algorithm
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GT Therapy Modes of Application: Dictated by Stage of Healing
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GT Therapy Modes of Application (i)
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GT Therapy Modes of Application (ii)
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GT Therapy Modes of Application (iii)
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GT Therapy During Therapeutic Exercise/Neuromuscular Re-Education
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Essential GT Treatment Algorithm
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Review of GT Instruments & Essential Strokes
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GT Instruments
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Shape of the GT Instruments
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Bevel Edges of the GT Instruments
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Factors to Consider When Selecting GT Instruments for a Treatment Session
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Essential Instrument and Handhold Review
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Overview: Clinical Applications for Each Instrument
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Review of Essential Strokes and Handholds
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GT Treatment Preparation
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To Glove Up or Not?
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Avoid Snow Plowing
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GT Dosage Parameters
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Intensity of GT Session
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Intensity of GT Session (cont.)
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Chapter 2: M2 Stroke Videos and Additional Considerations
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80 Topics
Chapter 2: Advanced Stroke Videos and Additional Considerations
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Lecture Topics
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Relevant Connective Tissue Physiology
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Fascial Physiology
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Fibroblasts
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Fibroblast Responses to Pressure
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Extracellular Matrix (ECM): Function
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Fascial Physiology: Mechanotherapy
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Neurophysiological Effects: Altered Neural Activity Increased
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Structural Considerations
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Structural Considerations: Superficial and Deep Fascia
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Structural Considerations: Superficial Fascia
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Superficial Fascia: Advanced Stroke Selection
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Structural Considerations: Deep Fascia
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Structural Considerations: Deep Fascia (cont.)
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Structural Considerations: Lumbo-Pelvic Region: T-L andAbdominal Fascia
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T-L Fascia: Force Transmission
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Structural Considerations: Aponeuroses
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Structural Considerations: What Is A Tissue Interface?
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Graston Technique Therapy to Tissue Interfaces
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Structural Considerations: Retinaculum
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Retinaculum: Innervated with Free and Encapsulated NerveEndings (Stecco, Langevin)
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Dynamic Graston Technique® Therapy to Retinacular Tissues
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Structural Considerations: Musculotendinous Junctions
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Deep Fascia, Tissue Interfaces & Retinacula: Advanced Stroke Selection
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Functional Considerations: Dynaments
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Fascial Expansions/Load Transfer
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Functional Considerations: Fascial Linking
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Functional Considerations: Fascial Strain
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Functional Considerations: Fascia and The Kinetic Chain
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Functional Considerations: Biotensegrity & Regional Interdependence
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Functional Considerations: Anatomy Trains or Fascial Line Concept
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Evidence Supporting Myofascial Chains
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Posterior Chain
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Anterior Chain
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Anterior Chain Therapeutic Exercise
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Lateral Chain
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Lateral Chain Therapeutic Exercise
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Functional / Performance Chain
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UE Fascial Chain
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Dynamic Therapeutic Exercise Multiple Chains
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Functional/Pathological Considerations: At any level of function the lines are in use and abuse over time.
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Pathological Considerations: Fascial Pain and Joint Dysfunction
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Pathological Considerations: Fascial Pain and Joint Dysfunction (cont.)
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Summary: Structural & Functional Considerations of Fascia
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Summary: Structural, Functional & Pathological Considerations of Fascia
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Making the Case for Additional Advanced Strokes & Treating in 3D & Under Load
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Why Address Connective Tissue in 3D?
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Why Treat Under Load?: Impact of Tension and Stress
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Why Treat Under Load?: The Physical Stress Theory
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Why Treat Under Load?: Davis’ Law
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Connective Tissue Assessment: Finger Glide and Clock, Skin Roll
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I-A Skin Rolling
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IA-C Bowing
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IA Skin Rolling & C-Bowing Applications
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Fascial Spiral
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Fascial Spiral Applications
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Pin & Stretch (Stationary Instrument/Bevel Down)
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Pin & Glide GT4
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GT4 Interface Rock/Scoop
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Interface Rock/Scoop Applications
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Advanced Additional Treatment Considerations
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Advanced Graston Technique® Therapy Algorithm
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Additional Considerations: Treating Under Load, Weightbearing & With Motion
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Additional Considerations: Treating Under Load, Weightbearing & With Motion (cont.)
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Potential Treatment Response
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General Treatment Guidelines
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General Treatment Guidelines (cont.)
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Advanced Treatment Parameters
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Other Important Points…
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Documentation of Graston Technique® Therapy Intervention
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Coding and Billing
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Clinical Indications
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Clinical Indications (cont.)
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Relative Contraindications
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Relative Contraindications (cont.)
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Injections
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Post-Surgical Graston Technique® Therapy Considerations
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ABSOLUTE CONTRAINDICATIONS
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ABSOLUTE CONTRAINDICATIONS (cont.)
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Chapter 3: Functional Testing & Exercise Prescription
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38 Topics
Functional Testing & Exercise Prescription
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Functional Testing and Exercise Prescription (cont.)
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Considerations for Neuromyofascial Interventions
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What Does This Mean for our Treatments?
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Do You Incorporate Functional Testing Into Your Clinical Examinations?
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Do Not Be Intimidated By Jargon!
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Common Functional Testing Systems
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Functional Tests Examine Movements vs. Muscles
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Pain Site vs Pain Source
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Pain Alters Motor Control
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Time Spent In Assessment
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The Test Determines The Treatment
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Goal of the Advanced System of Functional Testing
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Principles of the Advanced Functional Testing System
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Advanced System of Functional Testing (SFMA Top Tier Tests)
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Functional Testing
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Tight Hamstrings vs. Stability/Motor Control Deficit
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Cervical Patterns
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Cervical Movement Patterns (i)
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Cervical Movement Patterns (ii)
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Cervical Movement Patterns (iii)
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Upper Extremity: MREP & LRFP
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Upper Extremity: MREP & LRFP (cont.)
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Multi-Segmental Flexion
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Multi-Segmental Flexion (cont.)
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Multi-Segmental Extension
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Multi-Segmental Extension (cont.)
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Multi-Segmental Rotation
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Multi-Segmental Rotation (cont.)
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Single Leg Stance
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Single Leg Stance (cont.)
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Overhead Deep Squat
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Squatting Pattern
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Therapeutic Exercise Prescription Progression
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Functional Exercise Positions
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Functional Exercise Positions (cont.)
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Functional Exercise Progression
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What Do You Give Your Patients For “Homework”?
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Chapter 4: Breathing
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12 Topics
Breathing, Diaphragm, and Abdominal Wall
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Neuro-Development
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The Case for Breathing First
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Why Should We Assess Breathing?
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Pain & Breathing: What Does the Evidence Say?
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The Importance of Breathing
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Basic Breathing Retraining: Let’s Try!
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What Constitutes “Good” Breathing?
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Assessing Breathing: What is a Rib Flare and What Does it Mean???
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Abdomen, Diaphragm and Psoas/Iliacus Fascia Pre-Tests
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Abdomen/Diaphragm and Psoas/Iliacus
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Abdominal Wall/Diaphragm Exercises
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Chapter 5: Research
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1 Topic
Research
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Chapter 6: Tendinosis
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8 Topics
GT for Tendinosis & Ligament Healing
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Acute Tendinitis
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Chronic Tendinosis
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Histopathology of Tendinosis
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Mechanical Loading Effects on Tendons
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Making a Case of Graston Technique® Therapy
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Graston Technique® Therapy Tendinosis Progression
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Graston Technique® Therapy Tendinosis Protocol UE (Supraspinatus Examples)
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