02. October 2021 - 9:30
AECC University College, Bournemouth
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CCEP 7 Global Assessment of the Extremities - CPD | Saturday, 02. October 2021

** There are a limited number of places available at the early booking discounted price (as shown above). Once these have sold, places will revert to the standard price (+ 20% on the above price) **  


Registration Saturday: 08:15 


Saturday: 08:30-18:30

Sunday:   08:00-14:00

This seminar is open to Chiropractors and Chiropractic students only. Students who are actively enrolled in a course of study leading to a chiropractic qualification may take the entire course. However, one of the seven courses must be taken after they have graduated. A copy of your degree from an accredited chiropractic college must be provided to the senior instructor at the practical exam.


This course is accredited for 14 CPD Hours by the European Academy of Chiropractic. 

We want to reduce our impact on the environment by limiting the amount of paper we are using for our CPD courses. Course notes: Not provided in hard copy. You will be notified by email to access notes via Dropbox or similar (this is free to access and you will not need to set up a Dropbox account)


AECC University College are pleased to be running the full Certified Chiropractic Extremity Practitioners series. You will need to book each seminar individually, the dates are as follows:

CCEP 1 - Advanced Principles of TMJ, Ribs, and Shoulder Girdle (Marni Capes) – 12-13 October 2019

CCEP 2 - Advanced Principles of Upper Extremity Adjusting (Marius Jensen) – 14-15 March 2020

CCEP 3 - Soft Tissue Methods for the Spine & Extremities (Jared Jensen) – 9-10 May 2020

CCEP 4 - Advanced Principles of Extremity Rehabilitation (Marius Jensen) – 17-18 October 2020

CCEP 5 - Advanced Principles of Lower Extremity Adjusting (Kevin Hearon) – 6-7 March 2021

CCEP 6 - Introduction to Principles of Foot, Gait, and Orthotics (Dan Prince) – 8-9 May 2021

CCEP 7 - Global Assessment of the Extremities (John Downes) – 2-3 October 2021


The Certified Chiropractic Extremity Practitioner (CCEP) seminar series presents practical objective-based solutions for treating the extremities. The seminar series teaches how diagnosis and treatment is made simple through understanding the biomechanical functions of each joint.Chiropractic often stresses the importance of nerve interference in the spine, but neglects that it may also occur in the extremities. This simplified process utilizes muscle tests as indicators for adjusting, providing instant feedback for patients when their strength returns immediately. While these seminars do teach some of the “textbook” information behind the process, the real value is the “hands-on” approach that will teach you how to efficiently implement these methods into your care the next day . . . and with little more than your hands, you can get started without a huge investment.


CCEP 7 - Global Assessment of the Extremities

Presented by John Downes

Course Synopsis

Global Assessment of Extremities recognizes the interrelationship and the necessary intimacy of the spine to the extremities. Extremity dysfunction can and does affect the overall performance of the neuromusculoskeletal system. Thus, a “global” method of evaluation, analysis, and management is necessary. Understanding the signs, symptoms, and syndromes in a 'whole body' management format will solidify the practical application of the principles teamed in all prior modules. The most challenging patients are those that improve, but never completely resolve their complaints. Learn basic algorithms that will aid in establishing or reinforcing practical proficiency in management protocols.

This module will be based upon combining the general principles of all prior modules and the specifics of rehabilitation, extremity adjusting, orthotics and stabilization based upon the Council on Extremity Adjusting.

Day 1

08:30-09:30 - Introduction, terms of the course, goals, plans (scope of practice)

09:30-10:30 - Review of practical proprioceptive behavior and the mechanisms of operation, introduce the concept of proprioceptive deficit. (Clinical sciences)

10:30-11:30 - Properties of tissue, viscoelastic effect, set, creep, relationship of the mechanism of injury to these terms. (Clinical sciences)

11:30-12:30 -

Review spinal principles of stability, rigidity, plasticity and the presentation of the patient. (Clinical sciences)

12:30-13:30 LUNCH BREAK

13:30-14:30 - Practical ‘hands on’ lab for assessing the presence of proprioceptive deficit and its’ affect upon the somatosensory system. (Examination procedures / diagnosis)

14:30-15:30 - Review of lower extremity principles, foot, gait, orthotics, integration of lower extremity into global assessment. (Clincial sciences – examination procedures / diagnosis)

15:30-16:30 - Practical ‘hands on’ lab for evaluating the affect of lower extremity dysfunction on the biomechanics, neurology, and soft tissue. (Examination procedures / diagnosis/ adjustive techniques)

16:30-17:30 - Introduction of the ‘X’ theory / reciprocal limb syndromes in patients with or without complaints in the lower extremity. Case studies of traditional paradigms versus global extremity assessment. (Clinical sciences, examination procedures / diagnosis)

17:30-18:30 - Review of upper extremity principles, biomechanics, neurology, soft tissue. (Clinical sciences)


Day 2


08:00-09:00 - Practical ‘hands on’ lab for evaluating the local, regional, and global components of upper extremity dysfunction. (Examination procedures / diagnosis/ adjustive techniques)

09:00-10:00 - Introduction of TMJ dysfunction from a global extremity assessment perspective (Clinical sciences)

10:00-11:00 - Practical ‘hands on’ lab for evaluating the TMJ from a global perspective. (Examination procedures / diagnosis/ adjustive techniques)

11:00-12:00 - Global Management principles of proper sequencing for maximum positive response. (Scope of Practice, Clinical Sciences)

12:00-13:00 - Review of general theories of rehabilitation with respect to the findings from a global assessment. (Clinical sciences)

13:00-14:00 - Review, Q&A, written test and follow up questions. (Scope of practice, risk management, examination procedures / diagnosis)


Dr. John Downes teaches Global Assessment of the Extremities for the CEA. He has blended his years of clinical practice and teaching into a practical program of learning that challenges participants to enjoy a season of discovery. His clinical experience with athletes throughout the world from youth, college, professional and Olympic programs has provided opportunities to apply these principles and study the practicality of management protocols.

Through lecture and dialogue the role of extremities and how their function impacts spinal stability is reviewed in examination, assessment and management paradigms. Dr. Downes has taught the CCEP material since 1993 and serves on the Board for the Council on Extremity Adjusting. A 1986 graduate of Life College, he is currently the Director of the sport Science Institute at Life University.


How can I contact the organiser with any questions?

For more information contact the CPD team on +44 (0)1202 436 237 or email email

Will lunch & refreshments be provided?

A light lunch & refreshment breaks will be provided.

What if I have a Dietary requirement?

Should you have any genuine dietary requirements please email email who will pass this information onto the catering team.

Terms and Conditions of Booking Click Here