Manual therapy course

This is a manual therapy course intended for all those experienced therapists who want to take an important qualitative step in their career.
Although legally I cannot and should not offer an osteopathy course, this 4-year course (800 total hours) is largely based on osteopathic concepts, therefore those professionals who cannot access a university course in osteopathy in Denmark, this course will help them approach these levels of treatments.

The course takes certain bases of osteopathy, but as it progresses, it introduces important concepts of neuroscience, the latest discoveries in pain and how it has spent the last years from a position where pain was understood as something basically structural and tissue , to a modern situation in which he speaks of chronicity fixation mechanisms, in which physiology and neurophysiology take over from the old, more structuralist vision.

In the first level we talk about tissues and soft correction techniques (muscles, joints, fascias), in the second level we introduce ourselves in the cranial, visceral and neurovisceral area, the third year we talk about eyes, ears, feet and enter at a deeper level of the nervous system. We learn to analyze what kind of information the captors are sending and how to correct them to avoid compensations, which cause pain.

You also learn to evaluate and correct the peripheral system
In the last year the course consists of a chronic pain seminar, active techniques seminars, an acupuncture seminar for pain, and we will also work on the emotional level, understanding emotions as an important factor, since the emotionality of a client with chronic pain is affected, and also from the understanding that the client’s emotional area can act as a trigger for initiating episodes of pain, so in the last year it is taught to find the emotion, give it a context and tools to free the client from these emotions.

Second level

Course based on the understanding and comprehension of craniosacral , fluidic systems , and in addition to the tools of kinesiology, (this is used to make corrections and testing), we also incorporate the work and relationships that makes the posturology with the nervous system and sensors, and how they relate to the overall body.

Precise overview of the physiological basis of the mechanical functioning of the cranial mechanical functioning of the cranial membrane system.
– Theoretical-anatomical bases
– Understanding of the expansion effects of the Primary Respiratory

PROGRAM

Osteopathic philosophy and concept. Osteopathic etiology
Communication skills, psycho-emotional knowledge.
History and principles of Cranial therapy.
Membrane tension of membranes.
The Primary Respiratory Mechanism (PRM).
Reviews of Sutherland, Magoun, Wales, Upledger, Barral, Fryman, Jelous, Becker, Liem, etc.
Sutures, pivots, buttresses and cranial pillars.
Fluidic expansion. The arteriovenous system and its influence on the primary respiratory movement. The venous sinuses.
Cranial anatomy and physiology. Osteology, neuroanatomy,
Cranial radiology.

The cranial neuro- and viscera.

Conventional and Biointegrative osteopathic concept. Osteopathic methodology.
Cranial Biomechanics. Occipital, frontal, temporal, parietal, sphenoid, ethmoid, vomer, upper maxilla, lower maxilla, zygomatic bone, nasal bone, palatines. Teeth.
The fascial system, the four diaphragms.
Myovisceroneurofascial chains.
The child’s skull. Childbirth. Children’s craniosacral therapy
Cranial injuries. Flexion, extension, torsion, sidebending, rotation rotation, lateral strain, vertical strain, dural twist, sacral injuries, temporomandibular injuries, upper cervical spine injuries. mandibular injuries.
Support of self-healing forces.
The art of listening.
Pumping and venous drainage.

Tissue connection and signs of integration.
Decompression techniques (lift, CV3, CV4, etc.).
Fascio-energetic untwisting techniques.
Specific cranial techniques according to fixations.
Exaggeration, indirect techniques, direct technique, induction, sutural techniques, disengagement, modelling, multi-hand technique.
Support by pulmonary respiration
Compression-decompression pulmonary breathing
Compression-decompression, membranous and fluidic techniques.
Compression-decompression, membranous and fluidic techniques.
Compression-decompression techniques
and fluidic techniques.
Visceral, viscero-cranial, fulcrum and fascial leverage points.
Tissue listening. Tides and lines of force.
Reciprocal tension movement and inertial and natural fulcrums.
The long tide, the medium tide
Craniosacral therapy in relation to embryological development.
Listening Stations, Point of balance, Still point, V-spread, unwinding.
Somatoemotional release, neural manipulation and reflex points.

Contents in Biointegrative

Kinesiology applied to Craniosacral Therapy.
Neuroinformational kinesiology and infant sensory stimulation.
Bioenergetic, neurofocal and holistic dentistry applied to craniosacral therapy.
Craniosacral Therapy.
Craniosacral therapy and occlusion.
Manual therapy and visual system.
Behavioural optometry.
Postural receptors.
Primitive reflexes and sensory stimulation.
Referral protocols. Interdisciplinary work.
Craniosacral therapy and muscle chains.
Somatoemotional and emotional cyst release. Memory of the Tissue memory.
Therapeutic dialogue. Significant Upledger detector.
Clinic and methodology in Craniosacral Therapy.

Primary Respiratory Movement (PRM)

Study of osteology and cranial mechanics in order to understand capacity of movement and repercussion on other peripheral structures.
Development and awareness of cranial “listening” skills.
Development and awareness of the application of general body MRP and the different types of tides.and the different types of tides.
Integration of Energetic system. Meeting points between Traditional Chinese Medicine and manual therapy.
Integration of Cranial system in Posturology. Work of the postural sensors with Biointegrative Neuroinformational technique.
Referral protocols. Interdisciplinary work.
Kinesiology applied to Cranial system.
Somatoemotional technique
Provision of didactic material, texts, images.
Periodic evaluations and work groups. Clinical cases.

3 level

Integral therapy II

Is the one in charge of studying of postural physiology and its alterations.

The static posture is regulated by a very complex feedback system that obtains information from the internal and external environment and sends it to the brain (Central Nervous System), in whose centers the response is elaborated so that the muscular chains have the same tension or muscular tone on both sides, in order to keep the body erect, so that all its organs and systems work well, balanced and interrelated.

To receive and send this information to the CNS there are a series of proprioceptive receptors. The most important are those of the foot, the eye, the epidermis, the muscles and the vestibular system.

The masticatory system is not a true postural receptor, but it is a posture alter. When the jaw, the only bone in this system that has great capacity for movement and adaptation and change, alters its position, a local imbalance is established that will cause an involuntary clenching of the teeth (bruxism), craniocervical-facial muscular hyperactivity, and loss of the convergence of the eye, which is a primordial postural receptor, and therefore will alter the static posture of the body. Therefore, when changing something in the mouth it is very important not to alter the jaw’s equilibrium position, for which you should not look only at the dental arches.

Therefore, as we see, the control of the posture of our body does not depend exclusively on muscles or on the neurovegetative system that regulates them, or even on the state of the spine. There are other systems that control at a distance the postural balance, such as the foot, the eye and the inner ear, fundamentally. In addition, the mouth, without being a controller of the posture, can become disturbed in case of occlusion problems. In turn, the proper functioning of all these systems depends on a good regulation at the energetic, biochemical, structural and psychic level of each person.

In this course are included the seminars of :

The Future integrative therapy is destined to occupy an important space in the daily practice.

Introduction
Definition of the postural tonic system. Historical development of Posturology
Neurophysiological memory about regulation systems of posturokinetic activities.
Postural exocaptors and endocaptors. Functioning of the postural system of poise as a non-linear dynamic system
MODULE 2. THE FOOT SENSOR AND POSTURE

Foot system and postural regulation. center of gravity and center of pressure
plantar nociception and posture. Proprioceptive foot dysfunctions
Laws of postural templates. Postural templates: Action of the elements and podopostural treatments: Deworming, Reprogramming
Practical workshops:

Foot clinical examination, diagnostic exploration of irritative thorns. Foot element test for the insole.
posturodynamic examination.
Foot convergence test: foot reflex, nuchal, oculo-motor, dental parasites, lingual reflex
Global examination of the pelvipedic quadrilateral
Postural insoles – proprioceptive and stereoceptive.
Template making workshop. Insole materials, various kinds of postural insoles.

MODULE 3 – Visual sensor

visual captor: exo / endo captor. Visual – auditory – vestibular integration.
Visual-motor integration.
Abnormal postures and vision. Optometric test.
postural prisms.
Martins Da Cunha SDP Clinic: Your Treatment
Interest of prisms in posturology.
Treatment of developmental dyslexia and protioception.
Postural Psychology, Cognitive Training, Postural Reprogramming
MODULE 4 – VESTIBULAR CAPTOR IN POSTUROLOGY

Vertigo
General considerations. anatomical considerations. Pathophysiological considerations
Clinic and examination
Post-traumatic vertigo. senile vertigo Paroxysmal positional vertigo. Meniere’s disease.
Rehabilitation considerations
Vestibular system and posture.

Anatomy and pathophysiology of the peripheral and central vestibular system
Anamnesis and otoneurological clinical examination
Elementary static and dynamic examination of the vertiginous patient. Examination of the vestibulo-spinal system and ocular vestibule
Pathology: Enf. Ménière, Paroxysmal positional vertigo, vertigo in the elderly, Motion sickness and psychogenic vertigo.
Re-education of balance problems.
Balance aging and falls. Reeducation and prevention.
Physiology of the vestibular system:

Otolic function: utricular and saccular macules. Canalicular function: Mechanisms of canal excitation (explanation of Ewald’s laws).
Nystagmus concept

Impulse rotatory test.
Treatment of BPPV: Epley Maneuver, Semont Maneuver, Lempert Maneuver
Considerations in the above horizontal ageotropic and canal forms.
Principles of vestibular reeducation: Objectives and central compensation. Examples of forms of intervention:
Visual exercises to increase VOR gain. Exercises to improve vestibulospinal function. optokinetic stimulation. High-speed rotary stimulation.

Craniomandibular dysfunction

Descriptive anatomy of the temporomandibular joint. Articular surfaces. Articular disc. bilaminar zone. ligament system. Vascularization and irrigation. Masticatory muscles
Biomechanics of the temporomandibular joint.
Etiology of craniomandibular dysfunction. Diagnostic classification of alterations of the masticatory system.
Main elements of diagnostic support: MRI and CT.
Craniomandibular dysfunction (CMD), posture and postural control. Implications of the DCM on the cervical region and postural control.
Relations between occlusion and postural control.
Practical contents:

Clinical examination of joint function. Pain assessment and resting position. Temporomandibular mobility assessment
Evaluation of the condyle-discal complex. Evaluation of the capsular and temporomandibular ligament system.
Clinical evaluation of muscle function: masticatory system:
Masticatory muscle functional provocation tests

PRIMITIVE REFLEXES RELATED TO POSTURE. Basic neurophysiology of motor development.

Concept of primitive reflex, developed, retained, inhibited and integrated.
Primitive reflex-postural reflex.
Balance, cognition and posture from the clinical study of primitive reflexes, both in children and adults.
Methods of evaluation and integration of primitive reflexes
Exposure of some clinical cases from the work on sensory stimulation and integration of primitive reflexes in relation to posture
Brief approach to: Tonic labyrinthine reflexes, Landau, Galant, Amphibian, Symmetric tonic cervical reflex, asymmetric tonic cervical, Babinski, Moro reflex
Practical workshops:

Postural tests considering non-integrated reflexes
MODULE 5 – OCCLUSAL CAPTOR IN POSTUROLOGY. Occlusoodontology system.

Anatomy:

TMJ, Teeth, Muscles, Physiology, neurophysiology
The resting position, its regulation, occlusal-postural conflicts. Swallowing and chewing.
Dental-dental conflicts. occlusal forces
Occlusion

Reference positions: OIM, Neurophysiological demands, Stability criteria,
Tests: Centered or optimal articular relationship. Evaluation of the concept. registration technique
RC-IOM conflict
Therapeutic Centered Relationship
Classes 1-2-3. relationships with posture
Masticatory apparatus dysfunctions: Muscular, Classifications, Clinical signs,
Clinical tests: Joints, Classifications, Grades 1,2,3,4, Emergencies.
Treatments

Occluso-postural or posturo-occlusal lesions
Neurophysiological scheme of a postural tonic asymmetry
The different patients, how to differentiate them? Occlusal, Occlusal-postural, Posturo-occlusal The occlusal indices
Complementary exams, Axiography (axiography and posture), Imaging, Occlusal analysis Electrogalvanism investigation
Examination of cranio-cervical and occluso-cervical relations. Occluso-postural examination
Examination of the chewing apparatus, TMJ, Cervical and posture. Occlusion and TMJ test
ALPH Placement Practices
The priorities

Function of the splints. General modes of action
Vertical dimension, ideal TMJ, ideal occlusion, cognition.
particular modes of action. On muscular proprioception, on TMJ proprioception, on desmodontal proprioception. Stabilization.
Analysis of posture and occlusion in young school subjects
Effects of uncompensated edentation on posture
Consequences of stimulation at the level of a masseter on stabilometric parameters
Medium-term effects of wearing a splint (static-dynamic stabilometry- locometry)
Oral Dispersion Syndrome

The role of perception-action – motor and cognitive learning
Perceptual Dispersion
History and evolution of the concept of oral sensory stimulation

MODULE 6 – Proprioception and spine in Posturology

Organization of the proprioceptive system. neuromuscular coordination system
Pathophysiology of the proprioceptive muscular system
Correlation between neurosensory tests and postural tests
Treatment of the proprioceptive system.
RPG – Global Postural Reeducation / SGA – Active Global Stretching

proprioceptive reeducation. proprioceptive integration.
Ergonomics of sitting, standing and lying posture.
Practical workshops:

1-2 clinical cases. Morphological examination of the tonic postural and balance system
Questioning – Clinical examination – Manipulation of sensory inputs – Posturographic check – Differential diagnostic orientation
Postural examination of the spine.
MODULE 7 – OSTEOPATHY AND POSTUROLOGY- VISCERAL AND NEUROVEGETATIVE SYSTEM.
REGULATION OF THE VEGETATIVE NERVOUS SYSTEM IN RELATION TO POSTURE

The postural viscera. The gut posture

Visceral Osteopathy in posturological clinic
Neurophysiology of the visceropostural system
Understanding the mechanisms of visceral dysfunction in an integrated system
The fascia and the neuro-myo-viscero-fascial chains
Types of visceral fixation and their impact on posture
Differential diagnosis. Referral protocol to the visceral osteopath.
The vegetative nervous system and posture
Clinical evaluation signs of the orthosympathetic and vagotonic nervous system and their relationship with the postural tonic system
Neurotransmitters in posturological evaluation.
practical workshops

Posturovisceral clinical tests

MODULE 8 – Force Platforms – Static and Dynamic Posturography

Static and dynamic posturography.

Practical demonstration of the Posturology platform
Sensors, acquisition and treatment of the signal
Statokinesiogram, Stabilogram, frequency study
of regulation loops: visual, vestibular, cerebellar, myotatic.
Interpretation of normal and pathological values
Manipulation of sensory inputs
Practical workshops:

Posturography practice: realization and interpretation of records.
Clinical cases.
Gait test – The locometer

9 seminary: Active therapy

How to change the input from the nervous system to achieve a different action response in the direction of non-pain.
movement neuroscience
What is muscle activation?
-Arguments and objectives, why and what to use muscle activation
-muscular physiology
– mechanoreceptors, neuromuscular spindle tendons

Overall test of:

– Knee: flexors and extensors
-Hip flexors, extensors, adductors and abductors
-Spine: lateral flexion and rotation
-Shoulder: flexion, extension, adduction and abduction
– Rotator cuff
-Neck flexion extension

Specific tests and corrections of:

biceps femoris
semitendinosus
vastus medialis
vastus lateralis
Popliteus
anterior rectus
Psoas
tensor fasciae latae
gluteus maximus
gluteus medius
gracilis muscle
adductor longus
adductor magnus
adductor longus
Transversus abdominis (upper and lower)
Internal obliques.
lumbar quadratus
Iliocostalis
multifidus
serratus anterior
Upper trapezius
Lower trapezius
middle trapezius
rhomboids
latissimus dorsi
Pectoralis major
Supraspinatus Infraspinatus
subscapularis
Neck

-Acupuncture for the treatment of pain.

How to use acupuncture as a modulator of the nervous system in cases with clients with high pain, or on the contrary with significant chronicity, in which the neuroplastic changes in their brain require us to take other measures

10 Modul zonal acupuncture

Development of this acupuncture
Equivalence zones
Points and zones
Insertion technique
Auxiliary techniques
Myofascial acupuncture
Intradermal acupuncture
Supplementary techniques

and Introdution to de crhoncial pain from a point of mechanism.

11 Modul

We will try in this seminary too make practical sessions with clients