altered haemodynamics
“Open a new door”

Practical Sessions


Pulse palpation

Taught with an emphasis on clinical relevance and significance. Includes the use of provocative techniques and functional demonstrations related to posture, biomechanics and movement.


Doppler ultra sound assessment

Learn a new skill for assessment and differential diagnosis. Allows assessment of presence and quality of peripheral pulses. The techniques learnt will facilitate location and assessment of functional/positional factors.


Ankle to brachial pressure index

A simple evidence based test for assessment/differential diagnosis in lower limb pain syndromes where a vascular component is suspected. The technique is non invasive and easy to use in a clinical situation.


Exercise testing

Includes the use of positional exercise testing for the differentiation between spinal stenosis and vascular ischaemia.


Maximal exercise ABPI testing

A validated medical examination technique for assessment of athletes with exercise induced leg pain.


Blood pressure assessment

Taught with a specific relevance to musculoskeletal pain syndromes and clinical decision making in the upper limb and cervical spine. Particular attention is paid to the consideration and relevance of the use of BP measurement in advance of cervical movement techniques including exercise prescription, manipulation and non manipulative manual therapy methods.


Upper limb vascular testing

A critical appraisal of currently available upper limb testing techniques including the arm to arm brachial index, the ischaemic fatigue index, and conventional clinical ‘thoracic outlet’ tests.