Screenshot 2020-11-25 at 14.25.39.png
The Ultimate Upper Quarter

Presenter: Tanya Bell-Jenje

Target Audience: Physiotherapists, Chiropractors, Biokineticists, Sports Physiologists, Rehabilitation Professionals

Course Details
12 Hours of Pre-Recorded Content​
3 Month Access to Recordings
Complete in your own time
Non-downloadable electronic access to Course Manual
Course Manual Delivery to any South African Address Included in Price

The Upper Quarter is an integrated physiological system both anatomically & biomechanically.

For this reason, assessment & management of upper quarter pain & dysfunction should respect various co-relationships for best outcomes.

On this course you will learn to:

  • Understand the biomechanics and clinical anatomy of the glenohumeral, scapulo-thoracic, scapulo-humeral and cervico-thoracic regions in a unique, clinically applicable manner.

  • Recognise abnormal scapular and glenohumeral positional changes and its effect on the presenting pathology.

  • Understand & identify the causative factors in various upper quarter syndromes.

  • Predict risk for future injury of the upper quarter.

  • Assess the upper quarter in detail. This assessment is unique, providing maximum information with minimum tests. A novel assessment form is provided for immediate use in your treatment rooms.

  • Use clinical reasoning to identify source of symptoms and the appropriate management.

  • Learn to reason where you should start with management: with glenohumeral or scapular or cervical dysfunction. Which is the chicken & which is the egg?

  • Correctly teach your patient selected stabilisation strategies (to improve motor control & control of the neutral) of the craniovertebral, scapula and glenohumeral joints from the initial acute phase (in neutral) to full return to their pre-injury level.

  • Pre-habilitate injury risk factors to prevent injury, minimise costs and allow the professional athlete to be less hampered by persistent injury.

  • Correctly employ Myofascial release techniques to connective tissues with restricted extensibility, such as Levator scapulae, Pectoralis minor, Infraspinatus and Teres minor.

  • Progress rehabilitation in functionally ideal positions for optimal return to the patients’ pre-injury level.

Course Testimonials

"I absolutely loved this course!! If you have any doubt on your evaluation skills or treatment plans of shoulder patients- this course is an absolute must! This course helped improve my clinical view of the shoulder and let me be excited about seeing a shoulder patient in my practice!!"

Course Outline

Part 1:

Core concepts for the Upper Quarter: neutral zone, muscle sleeve etc
Understanding muscle classification

Update on evidence for neck pain

Give & restriction

Optimal C0/1 & C1/2 movement

Importance of the cervical lordosis


Part 2:

Overview of the Scapula & optimal arthrokinematics

Glenohumeral joint & optimal arthrokinematics

Clinically relevant Anatomy

The Diaphragm: Link between neck pain & breathing


Part 3:

Clinically applied Anatomy with Best exercises

Workshop / homework

Assessment principles

Posture assessment

Part 4:

Party tricks

Cranio-vertebral neutral

GH neutral (Schlurpping?)

Scap neutral


Part 5:

Rotator cuff related pain syndrome

Scapular vs GH dysfunction: where & when to start

Impingement tests – relevance?

Improvements tests


Part 6:

Treatment options

Case examples

About Tanya Bell-Jenje

Tanya is a Manual Therapist (OMT), international lecturer and developer of the Groovi Movements Physio Software.

She is a founder of Bell Rogers & Harris Physiotherapists and a Director of ‘Off Nicol Health Wellness & Rehab’ in Johannesburg, South Africa. Earlier career and life experiences revolved around her position as Physiotherapist for various National Sports & Teams such as South African Mens Cricket and Ladies Hockey.

Tanya went on to serve as an honorary lecturer at Wits University and has lectured and presented at orthopaedic congresses and physiotherapy workshops throughout the world. As she continues to study and instruct on the interplay of biomechanics and kinematics, Tanya promotes an integrated approach to injury diagnosis, treatment and prevention.

Tanya Portrait.jpg