This is an American text on the Graston Technique! It's valuable. It's in English, but how about using it to deepen your understanding of the technique? - Brand: GRASTON - Technique: TECHNIQUE - Training Content: M2-Advanced Training - Target: Upper & Lower Quadrants - Media: CD - Manual Type: Instruction Manual This is not a DVD image. The manual text is included on the CD. Please note that returns, refunds, and claims are not accepted. Thank you for viewing.