P-DTR® Foundations - San Francisco

June 21-24, 2019
August 02-05, 2019
September 06-09, 2019
October 04-07, 2019

**Registration Deadline June 7**

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P-DTR® Foundations Curriculum

Module 1

INTRODUCTION

What is P-DTR?
- Origins
- How does it work?
- What does it treat?
  - Software vs. Hardware analogy
- Core Principles of P-DTR
- Receptor classes
- Proprioception
  - Exteroception
  - Interoception
- Myotatic Stretch Reflex
  - Autogenic excitation
  - Reciprocal inhibition
  - Gamma motor neurons
- Deep Tendon Reflex
  - Technique
  - Location of DTR’s and corresponding nerve roots
  - Superficial reflexes
- Paired Receptor Model
  - Components
    - Primary
    - Main Secondary
    - Virtual Secondary
    - Tertiary

RULES OF P-DTR

Application of muscle testing to P-DTR
Therapy Localization
- What is TL?
  - Sensory and motor homunculi
- What does TL do?
- How is it used?
Muscle Testing Outcomes
- Facilitated
- Inhibited
- Neurologic Switching
  - Normal autogenic responses to X and II’s
- Hypertonicity
  - Global Hypertonicity
- Receptor rules
  - Stimulus
  - Opposite stimulus
  - Anti-stimulus
- TL rules
- DTR rules
- Tertiary rules
- Modes of Dysfunctions
  - Classifications
    - Basic mode
    - Multi modes
    - Hyper modes
  - Frequency of Firing
- Rules of Indicator Muscles
  - Qualifying a valid indicator muscle
- Universal Therapy Localization
- Double Therapy Localization

MUSCLE SPINDLE CELL DYSFUNCTIONS

Intrafusal muscle fibers
- Nuclear bag fibers
- Nuclear chain fibers
Classes of stimuli
- Proper stimulus
- Opposite stimulus
- Anti-stimulus
  - Regional Hypertonicity
  - Local Hypertonicity
- Assessment and Treatment Protocol
  - History
  - Observation
  - Palpation and orthopedic testing
  - Normal autogenic responses
  - Muscle testing
  - P-DTR treatment
- Reactor/Reactive
  - Location of reactor and reactive
  - Proper stimulus
  - Options for treatment

SINGLE TRAUMATIC EVENTS

Indications
Testing
Treatment

NOCIOCEPTION

Fast pain vs. slow pain
Excitatory stimuli
- Mechanical stimuli
- Thermal stimuli
- Chemical stimuli
Peripheral nociceptive fibers
“Double” system of pain innervation
Dual nociceptive pathways
- Neospinothalamic tract
- Paleospinothalamic tract
Dual nociceptive neurotransmitters
- Glutamate
- Substance P
Nociceptive Inhibition Patterns
- Nociceptive Withdrawal Reflex/Flexor Reflex Afferent
- PMRF
- Extrapyramidal Inhibition Pattern
- Thalamic Inhibition Pattern
Gate Control Theory of Pain

Module 2

NEUROGAIT II

Location of Nerve Endings
- Type I Golgi
- Type II Golgi
- Type III Golgi
- Type IV Golgi
Rules of muscles
- Flexor stretching rule
- Extensor stretching rule
Ligaments
- Golden rules of ligament testing
- Ligament physiology
- Rules of ligaments
  - Limb rotation during gait
- Nutrition for ligaments
Rules of Joint Capsules
Joint Capsule Golgis vs. Non-Joint Capsule Golgis
Rules of Joint Hyaline Cartilage
Rules of Joint Fibro Cartilage
Rules of the Spinal Ligaments
- Anterior Longitudinal Ligament
- Posterior Longitudinal Ligament
- Supraspinous Ligament
- Interspinous Ligament
- Ligamentum Flavum
- Intertransverse Ligament
Rules of the Talus
Rules of the hyoid, earlobes, nose, and lips
Ligament Palpation and Muscle/Ligament Relationships
- Pelvic ligaments
- Hip ligaments
- Knee ligaments
- Ankle/foot ligaments
- Sternal and clavicular ligaments
- Shoulder ligaments
- Elbow/wrist ligaments
- Organ suspension ligaments
Rules of bones

NEUROGAIT I

Gait: Types of Sensory Input
- Effect of stepping rate in stance and swing phases
Automatic gait
Cerebellum and gait
Gait phases
- Phase 1: Initial contact
- Phase 2: Loading response
- Phase 3: Mid stance
- Phase 4: Terminal stance
- Phase 5: Pre-swing
- Phase 6: Initial swing
- Phase 7: Mid swing
- Phase 8: Terminal swing
Mechanical breakdown of stance phase
- Chopart joint
- Lisfrank joint
- Foot divisions
  - Talar foot
  - Calcaneal foot
Joint ligaments and involved muscles
- Talonavicular joint ligaments
- Cuneonavicular joint ligaments
- Calcaneocuboid joint ligaments
- Talocalcaneal/subtalar joint ligaments
- Interphalangeal joint of the 1st toe ligaments
- Tibiotalar joint ligaments
- Metatarsophalangeal joint of the 1st toe ligaments
- Metatarsophalangeal joint of the 2nd toe ligaments
- Metatarsophalangeal joint of the 3rd toe ligaments
- Metatarsophalangeal joint of the 4th toe ligaments
- Metatarsophalangeal joint of the 5th toe ligaments
- Anterior tibiotalar deltoid ligament
- Tibionavicular deltoid ligament
- Posterior tibiocalcaneal deltoid ligament
- Posterior tibiotalar deltoid ligament
- Anterior talofibular ligament
- Calcaneofibular ligament
- Posterior talofibular ligament

GAIT INHIBITION

Background
Symptoms
Testing procedure
Inhibition patterns
Treatment
- Forward gait
- Backward gait
Iliolumbar ligament

PALO-ALTO

Background
Testing procedure
- Posterior
- Anterior
- Lateral
- Oblique
- Adductor
- K1

PiLUS

Background
- Hypothesis of Illi
- Hypothesis of Kapandji
- Location of receptors
Symptoms
Testing procedure
Treatment

PELVIC CATEGORIES

Pelvic category I
- Location of receptors
- Symptoms and presentation
- Related muscles
- Treatment
Pelvic category II posterior ilium
- Location of receptors
- Symptoms and presentation
- Related muscles
- Treatment
Pelvic category II posterior ischium
- Location of receptors
- Symptoms and presentation
- Related muscles
- Treatment
Pelvic category II symphysis pubis
- Location of receptors
- Symptoms and presentation
- Related muscles
- Treatment
Pelvic category III
- Location of receptors
- Symptoms and presentation
- Related muscles
- Treatment
Sacral distortion
- Location of receptors
- Symptoms and presentation
- Related muscles
- Treatment

GOLGI ORGAN DYSFUNCTIONS

Golgi-golgi dysfunctions
- Location of receptors
- Pathways
  - Spinocerebellar Pathway
  - Dorsal Column Medial Lemniscus
- Joint capsule golgis vs. non-joint capsule golgis
  - Normal vs. dysfunctional responses
- TS Line and golgi dysfunctions
Golgi-pacini dysfunctions
- Pacinian corpuscles
- Differentiating golgis vs. pacinis
  - Rules and application of “rebound”
  - Determining golgi-golgi pairs vs. golgi-pacini pairs

PRESSURE AND VIBRATION DYSFUNCTIONS

Pacinian corpuscles
Vibratory receptors
- Ruffini endings
  - Frequency
  - Location
- Meissner’s corpuscles
  - Frequency
  - Location
- Krause’s corpuscles
  - Frequency
  - Location
Use of tuning forks
- Universal vibratory challenge
  - Locations
  - Rules of universal vibratory points

Module 3

LONG KINEMATIC CHAINS

The Science of Mechanics
- Statics
- Dynamics
- Kinematics
- Kinetics
Mechanisms vs. Structures
Long Kinematic Chains
- Open Kinematic Chain
- Closed Kinematic Chain
Dynamic Kinematic Chain Testing
Rules of Long Kinematic Chains
Common locations

THERMAL NOCIOCEPTION

Three types of thermal receptors
- Cold receptors
- Warm receptors
- Nocioceptive stimuli
Cold receptors
- Fiber type
- Pathway
- Stimulation
- Symptoms
- Inhibition pattern
- Treatment
Warm receptors
- Fiber type
- Pathway
- Stimulation
- Symptoms
- Inhibition pattern
- Treatment

TICKLE AND ITCH

Tickle
- Fiber type
- Pathway
- Stimulation
- Symptoms
- Inhibition pattern
- Treatment
Itch
- Fiber type
- Pathway
- Stimulation
- Symptoms
- Inhibition pattern
- Treatment

FINE AND CRUDE TOUCH

Fine touch
- Meissner’s corpuscles
- Merkel’s discs
  - Iggo dome receptors
- Fiber type
- Pathway
- Stimulation
- Symptoms
- Inhibition pattern
- Treatment
Crude touch
- Fiber type
- Pathway
- Stimulation
- Symptoms
- Inhibition pattern
- Treatment

CLOACAL SYNCHRONIZATION

Equilibrium reflex synchronization
- Labrynthine reflex
  - Symptoms
  - Location
- Head-on-neck reflex
  - Symptoms
  - Location
- Visual righting reflex
  - Symptoms
  - Location
- Anterior pelvic reflexes
  - Symptoms
  - Location
- Posterior pelvic reflexes
  - Symptoms
  - Location
Appositional testing
- Flexion tests for anterior reflexes
- Extension tests for posterior reflexes
Treatment

VERTEBRAL FIXATION AND LIMBIC FIXATION

What is a spinal fixation?
Occipital fixation
- Use of therapy localization
- Testing
- Treatment
Sacral fixation
- Use of therapy localization
- Testing
- Treatment
Vertebral fixation
- Use of therapy localization
- Testing
- Treatment
Limbic fixation
- Location
- Use of therapy localization
- Testing
- Treatment

JOINT POSITION PROPRIOCEPTORS

Joint position sense
- Conscious joint position
  - Pathway
  - Symptoms
  - Treatment
- Unconscious joint position
  - Pathway
  - Symptoms
  - Treatment

SPINOTHALAMIC DYSFUNCTIONS

Ascending sensory systems
- Anterolateral system
  - Spinotectal
  - Spinomesencephalic
  - Spinohypothalamic
  - Spinoreticular (Paleo)
  - Spinothalamic (Neo)
- Dorsal column medial lemnical pathway
  - Fasiculus gracilis
  - Fasiculus cuneatus
  - Medial lemniscus
- Somatosensory pathways to the cerebellum
  - Spinocerebellar tracts
  - Cuenocerebellar tracts
1 st, 2nd, and 3rd order neurons
Spinothalamic dysfunctions
- Spinotectal
  - Course
  - Function
  - Stimulus
- Spinomesencephalic
  - Course
  - Function
  - Stimulus
- Spinohypothalamic
  - Course
  - Function
  - Stimulus
- Spinoreticular (Paleo)
  - Course
  - Function
  - Stimulus
- Spinothalamic (Neo)
  - Course
  - Function
  - Stimulus

ADRENALS

Histology
- Location
- Structure
  - Medulla
    - Chromaffin cells
      - Catecholamines (adrenaline and noradrenaline)
  - Cortex
    - Glomerulose zone
      - Mineralcorticoids (aldosterone)
    - Fasiculata zone
      - Glucocorticoids (cortisol)
    - Reticularis zone
      - Androgens (DHEA and DHEA-S)
      - Estrogens
- Blood supply
- Function
  - Maintaining metabolic processes
  - Regulate balance of salt and water
  - Control “flight or fight” response to stress
  - Maintaining pregnancy
  - Initiating and controlling sexual maturation during childhood and puberty
  - Synthesis of corticosteroid hormones in cortex
    - Cortisol
    - Corticosterone
    - Androgens
    - Aldosterone
Metabolism
- Role of cholesterol
- Hormones of the adrenal cortex
  - Glucocorticoids
  - Mineralcorticoids
  - Androgens
Adrenal pathology
- Cushing’s syndrome
- Addison’s disease
General Adaptation Syndrome
- Categories of stress
  - Physical stress
  - Chemical stress
  - Emotional stress
  - Thermal stress
- Stages of GAS model
  - Alarm reaction
  - Resistance stage
  - Exhaustion stage
- Triad of chronic stress
  - Adrenal cortex enlargement
  - Atrophy of thymus gland and lymphatic tissues
  - Stomach and duodenal ulcers
- Symptoms of adrenal stress
- Signs of adrenal stress
- Relationship of DHEA to cortisol
  - Pregnenolone steal/cortisol escape
Treatment

Module 4

MERIDIAN DYSFUNCTIONS

Meridian electromagnetic dysfunctions background
- Meridians vs. Reactor/Reactives
- Meridian alarm points
- Meridian associated muscles
- Over vs. Under meridians
- Meridian dysfunction classifications
- Hand/finger polarity
Signs and symptoms
Common cycles
- Outer sheng
- Inner sheng
- Elemental
- Ko
- 24 hour
Diagnosis
Treatment
- Primary and secondary meridians
- Associated points along bladder meridian

EMOTIONAL FAULTS

Triad of health
Fast emotional corrections
- Memory recall fast correction technique
- Emotional stress reduction technique
- Localization, quality memory
Psychological reversal
- Qualification
- Treatment
- Nutrition
Full emotional correction
- Neurolinguistic programming eye vectors
- Visceral referred pain patterns
- Treatment

STOMATOGNATHIC DYSFUNCTIONS

Stomatognathic dysfunctions
- Cranial faults
- Cranial sutures
- Sacral dysfunction
- TMJ dysfunction
- Hyoid
- Neurologic tooth
Cranial motion
- Sphenoid bones
- Occiput
- Temporal bones
- Frontal bone
- Parietal bones
Cranial faults
- Inspiration assist
- Expiration assist
- Sphenobasilar inspiration assist
- Sphenobasilar expiration assist
- Glabella
- “Banana head”
  - Temporal bulge
  - Parietal descent
- Internal frontal
- External frontal
- Nasosphenoid
- Universal
Sutural cranial faults
- Sagittal suture
- Squamosal suture
- Lambdoidal suture
- Zygomatic sutures
- Palatine suture
Sacral dysfunction
- Sacral respiratory function
- Sacral faults
  - Sacral inspiration assist
  - Sacral expiration assist
  - Sacral wobble
    - Inspiration assist
    - Expiration assist
  - Atlanto-occipital countertorque
    - Inspiration assist
    - Expiration assist
TMJ anatomy
- Muscles of mastication and mandibular movement
- Assessment and testing
Hyoid anatomy
- Muscles of the hyoid
- Assessment and testing
Neurologic tooth
- Background
- Indications
- Challenge and manipulation of teeth
- Nutrition

ENROLL TODAY!

P-DTR® Foundations San Francisco

REGISTRATION DEADLINE: June 7

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

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