P-DTR® Intermediate - San Francisco

Module I: April 27 - 30, 2023
Module II: June 1-4, 2023

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Join us for the continuation of your P-DTR training experience.

You'll build on your previous knowledge from the Foundations series, to include a detailed understanding of:

Priority dysfunctions
Sequence dysfunctions
Peripheral joint biomechanics
Mandibular and facial ligament biomechanics
Spine biomechanics

This will greatly influence your ability to get even better, faster results with a broader range of your clients.

P-DTR® Intermediate Curriculum

Module 1

PRIORITY DYSFUNCTIONS

Structure of fractals
Rules of priority dysfunctions
- Super basic mode
Rules of Double UTL

SEQUENCE DYSFUNCTIONS

Reflexes vs. sequences
Types of sequences
Rules of sequences
- Diagnostics
- Treatment

SHOULDER BIOMECHANICS

Osteology
- Shoulder complex
  - Sternum
  - Clavicle
  - Scapula
  - Humerus
- Joints of the shoulder
  - Sternoclavicular joint
  - Acromioclavicular joint
  - Coracoclavicular joint
  - Scapulothoracic joint
  - Glenohumeral joint
- Shoulder neural function
- Movements of the scapula
  - Scapulohumeral rhythms
- Shoulder goniometry
- Movements of the shoulder complex
- Static vs. dynamic restraints
- Sequences

KNEE BIOMECHANICS

Knee goniometry
Biomechanics of rolling
Biomechanics of rotation
Menisci of the knee
- Superior, peripheral, and inferior surfaces
- Menisci attachments
- Passive menisci movements
- Active menisci movements
- Rupture of the menisci
  - Causes
  - Types of tears
Patella
- Movement mechanics
Extensor muscles of the knee
Flexor muscles of the knee
Rotator muscles of the knee
Automatic movements of the knee
- Movements
- Causes
Plica
- Background
- Characteristics
- Location
- Treatment
- Clinical manifestation
Lateral knee stability
- Collateral ligaments
  - Medial collateral ligaments
  - Lateral collateral ligament
Anterior-Posterior knee stability
- Periarticular defense system of the knee
- Cruciate ligaments
  - Anterior cruciate ligament
  - Posterior cruciate ligament
Synovial membrane
Bursae
“Screw-Home” mechanism
Genicular anastomosis
Popliteal fossa
Orthopedic tests
Sequence dysfunctions

HIP BIOMECHANICS

Hip goniometry
Biomechanics of hip joint
- “Black Crescent”
Three elementary movements of hip
Hip ligaments
- Iliofemoral (superior and inferior bands)
  - Location
  - Function through various movements
- Pubofemoral
  - Location
  - Function through various movements
- Ischiofemoral
  - Location
  - Function through various movements
- Ligamentum teres
  - Location
  - Function
    - Circumflex artery
  - Stimulus
- Transverse ligament of hip
  - Location
  - Stimulus
Sequence dysfunctions

Module 2

FOOT AND ANKLE BIOMECHANICS

Ankle osteology
- Ankle mortise
  - Lower leg
    - Tibia
    - Fibula
      - Tib-fib fixation
  - Talus
    - Relationship to FHL
    - Movements of subtalar joint
Tarsal sinus
- Y-ligament
Ankle goniometry
- Anterior compartment
- Posterior compartment
- Lateral compartment
Foot osteology
- Hindfoot
  - Subtalar joint
- Midfoot
  - Transverse tarsal joint
  - Tarsometatarsal joints
- Forefoot
  - Metatarsophalangeal joints
- Interphalangeal joints
Arches of the foot
- Longitudinal arch
  - Lateral longitudinal arch
  - Medial longitudinal arch
- Transverse arch
Windlass mechanism
Muscles of the foot
- Intrinsic muscles
- Extrinsic muscles
Ligaments of the ankle
- Anterior proximal tib-fib ligament
- Posterior proximal tib-fib ligament
- Anterior/Posterior tib-fib ligament
- Interosseous ligament between tibia and fibula
- Lateral ankle ligaments
  - Anterior talofibular ligament
  - Posterior talofibular ligament
  - Calcaneofibular ligament
- Medial ankle ligaments/”Deltoid ligament”
  - Anterior tibiotalar ligament
  - Posterior tibiotalar ligament
  - Tibiocalcaneal ligament
  - Tibionavicular ligament

ELBOW AND WRIST BIOMECHANICS

Elbow osteology
- Humerus
  - Trochlea
  - Capitulum
- Ulna
- Radius
Joints of elbow
- Humeroulnar joint
- Humeroradial joint
- Radioulnar joint
  - Proximal radioulnar joint
  - Distal radioulnar joint
Nerve innervation
- Median nerve
- Ulnar nerve
- Radial nerve
Elbow goniometry
Movements of the elbow
- Muscle tests for supinator, pronator teres, pronator quadratus, and anconeus
Elbow kinematics
Ligaments of the elbow
- Annular ligament
- Quadrate ligament
- Ulnar collateral ligament
- Radial collateral ligament
- Interosseous ligament between radius and ulna
Carpal osteology
Ligaments of the wrist
- Anterior carpal ligaments
- Posterior carpal ligaments

MANDIBULAR AND FACIAL LIGAMENT BIOMECHANICS

Mandibular ligaments
- Stylomandibular ligament
  - Anatomy
  - Function
  - Muscle inhibition pattern
- Sphenomandibular ligament
  - Anatomy
  - Function
  - Muscle inhibition pattern
- Lateral/Temporomandibular ligament
  - Anatomy
    - Oblique portion
    - Horizontal portion
  - Function
  - Muscle inhibition pattern
Facial ligaments
- True retaining ligaments
  - Mandibular cutaneous ligament
    - Anatomy
    - Function
    - Muscle inhibition pattern
  - Zygomatic ligament
    - Anatomy
    - Function
    - Muscle inhibition pattern
  - Orbitomalar ligament
    - Anatomy
    - Function
    - Muscle inhibition pattern
- False retaining ligaments
  - Parotid cutaneous ligament
    - Anatomy
    - Function
    - Muscle inhibition pattern
  - Masseteric cutaneous ligament
    - Anatomy
    - Function
    - Muscle inhibition pattern

AEROBIC-ANAEROBIC DYSFUNCTION

Aerobic vs. Anaerobic system characteristics
Neurologic respiratory system
- Medulla oblongata respiratory nuclei
- Reflexes of the respiratory system
Aerobic system
- Function
- Symptoms
- Causes of dysfunction
- Nutrition
Anaerobic system function
- Function
- Symptoms
- Causes of dysfunction
- Nutrition
Base challenges for testing
- Aerobic
- Anaerobic

PAIN AND INHIBITION

Dermatomes
Referred nerve pain
Referred viscera pain
Muscle referred pain
- Lower limbs muscles
- Upper limbs muscles

LUMBAR SPINE BIOMECHANICS

Biomechanics of the vertebral column
- Spinal curvatures
- Three columns theory
Intervertebral disc ranges of motion
Internal and external musculature support
Spinal goniometry
Water imbibition by the nucleus
Movement of discs in flexion and extension
Intervertebral disc prolapse
- Types of prolapse
- Locations
Disc to nerve adhesions
Lasegue’s sign
Automatic rotation of the vertebral column during lateral flexion
Pelvis and sacro-iliac joints
- Symphysis pubis
  - Anterior and posterior anatomy
  - Stimulus
- Sacro-iliac joints
  - Dynamic vs. static sacrum osteology
  - Sacro-iliac ligaments
Nutation and counter-nutation
Lumbo-sacral joint and spondylolisthesis
Muscles of the trunk
Sequence dysfunctions
Spinal ligaments
- Iliolumbar ligament
  - Anatomy
  - Stimulus
- Sacrotuberous ligament
- Sacrospinous ligament
- Anterior longitudinal ligament
- Posterior longitudinal ligament
- Ligamentum flavum
- Interspinous ligament
- Supraspinous ligament
- Intertransverse ligament

THORACIC SPINE BIOMECHANICS

Axis of rotation
Costovertebral joints
- Reinforcing ligaments
Costotransverse joints
Movements of the costal cartilages and sternum
Movements of the intercostal muscles and sternocostalis
- Sternocostalis
  - Anatomy
  - Stimulus
Diaphragm
- Attachments
Respiratory muscles
- Primary and accessory
  - Inspiration
  - Expiration
Mechanism of coughing: closure of the glottis
Mechanism of the larynx during swallowing
- Cricoid cartilage
- Thyroid cartilage
- Arytenoid cartilage
- Epiglottic cartilage

CERVICAL SPINE BIOMECHANICS

Cervical spine osteology
- Sub-occipital segment
  - Atlas
  - Axis
- Inferior segment
Atlanto-occipital joint movements
Atlanto-axial joint movements
Unco-vertebral/Luschka’s joints
Compensations in the suboccipital vertebral column
Cervical spine goniometry
Structure and action of the sternocleidomastoid
Prevertebral and scalene muscles
Posterior muscles of the neck
- Suboccipital muscles
Cervical ligaments
- Apical ligament
- Alar ligament
- Transverse posterior ligament of atlas
- Posterior cervical ligament
- Nuchal ligament

SPINAL COUPLED MOTION

Automatic rotation of the spine during lateral flexion
Movement of spinous processes
- Sub-occipital cervical spine
- Lower cervical spine
- Lumbar spine
Testing
Treatment

Your Instructor

Carl Alexander

My health-consciousness began as a very young child when I was confronted with years of undiagnosed abdominal pain. My passion grew as I saw the connection between my own health practices and my performance on the soccer field. I graduated with a degree in Nutritional Sciences and worked as a personal fitness trainer for 15 years while continuing to develop my skills in addressing pain and the obstacles to maximum health and physical performance.

I founded San Francisco Integrative Massage with the mission of providing a comprehensive approach to wellness, healing, and physical achievement. My approach addresses the root causes of pain and dysfunction by incorporating therapeutic massage, manual and neurological pain relief techniques, and fitness training. P-DTR® is central to my practice and provides a systematic assessment of clients’ dysfunction and a method for treating it neurologically.

When I came across P-DTR and sought treatment for my own chronic neck pain, I was astounded by the immediacy of relief I felt and pursued my own certification in the method. I have observed rapid and permanent results in clients for conditions such as back pain, repetitive strain injury, rotator cuff injuries, tennis elbow, TMJ dysfunctions, trigger points, food intolerances, trigeminal neuralgia and post-concussive syndrome.

I am increasingly motivated to share this treatment and and its benefits. I am grateful for the opportunity to practice and teach others such an innovative and effective technique.

Frequently Asked Questions

Where is the course located?

Embassy Suites by Hilton San Francisco Airport Waterfront

150 Anza Boulevard

Burlingame, CA 94010

When does the course start and finish?

Class will run from 9 AM to 6 PM days 1,2 and 3 and from 9 AM to 4 PM day 4 of each module.

What if I need to cancel the course?

Easy! Simply contact us within 30 days before the course begins and we will give you a full refund (minus merchant fees we incur), no questions asked.

Do I get access to any online content - before we start?

No - you get access to some of the recommended reading, and particular course content, before the course. You then get full access to the course content online for re-study on the day you start the course in person.

Is there a registration deadline? Can I still register after the deadline has passed?

Registration cut off is exactly one month prior to the start of Module I. While you can still register after the deadline, all classes are subject to cancellation if minimum student numbers are not met by the deadline. If you are planning on registering after the deadline, please contact carl@pdtrusa.com

ENROLL TODAY!

P-DTR® Intermediate San Francisco

Join us in learning the exciting manual therapy treatment world that is P-DTR®.

Solve complex cases - have more people lining up to see you as the "go to" person in your area.
Make treatment fun - theres nothing better than discovering the actual reason for people's dysfunctions!
Non Invasive - Not a needle in sight! No one has ever felt "nauseous" in any treatment with P-DTR!
Easy on your hands - Manual therapy can be hard work - but not with P-DTR... It's easy on YOU.
Works with ANY modality - no matter if you're a Chiro/Osteo/Physio/Massage Therapist - P-DTR fits right into your current way of treating.
Get permanent results - nothing works like P-DTR® to really get to the "neurological heart" of the dysfunction.

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