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In this segment we will cover the structure of the nervous system and the communication between the CNS and PNS. Learn the level at which P-DTR enacts change and how it manipulates sensory receptors to produce more effective motor output and interaction with the external environment.
P-DTR dysfunctions are present in the body beginning with very low level basic mode patterns, eventually escalating to very high level hyper mode patterns. As dysfunctional afferent information increases within a receptor different effects are seen throughout the system. Learn the progression of these modes of dysfunction and how related muscles in the pattern will test as a result.
Understanding the basic building blocks of any P-DTR dysfunction are key to having success with the technique for all topics to come. Learn the characteristics of the Primary, Secondary, and Tertiary components of a dysfunction. Gain comprehension of what happens to each of these pieces when proper, opposite, and anti stimulus is applied to receptors and how to utilize these to manipulate afferent information.
Every muscle in the body should have the ability to both lock and unlock. Learn how to assess for normal autogenic responses as well as the presentation of aberrant responses such as neurological switching and hypertonicity.
In the case of hypotonicity, a patient will test as systemically inhibited. This is indicative of a very high level dysfunction. Learn how to assess for and treat this condition.
A patient presenting with a neurological switch will present with unpredictability in response to any given stimuli. Learn how to locate and treat this condition.
Hypertonicity is a state in which a muscle is undergoing continuous neurological activation and unable to inhibit when warranted. Learn how to assess for and treat this compensatory condition.
Deep Tendon Reflexes are utilized with numerous procedures throughout P-DTR. Gain understanding of how to elicit each of the DTR's as well as which DTR's are most appropriate depending on patient position during treatment.
Double TL and Double Stimulus are two tools used to quickly locate Primary receptors. Learn how to utilize each tool, how to perform DBL Stimulus for nuclear bags, nuclear chains, paleos, and neos, as well as common mistakes made during application.
Direct muscle testing plus stimulus, local TL plus stimulus and indicator testing, and UTL plus stimulus and indicator testing are all viable techniques to locate receptor dysfunctions. Learn how to utilize proper, opposite, and anti stimulus with receptors and gain comprehension of how related muscles are effected whether the dysfunction begins in a basic/multi or hyper mode. Gain understanding of the ins and outs of each of these three techniques to quickly assess for aberrant sensory receptors.
Indicator muscle testing is an extremely useful tool that can drastically speed up treatment time. Learn the steps necessary to qualify a valid indicator muscle for dysfunctional patterns to utilize along with local TL and UTL plus stimulus.
Once familiar with the manner in which the various types of stimuli manipulate the afferent signal of a receptor, learning to apply these rules in a more advanced fashion to rapidly locate paired receptors is a logical progression. Gain insight into how to utilize the rules to locate the Primary receptor after first finding the Secondary receptor and vice versa.
After a dysfunctional receptor has been located, determining the paired receptor type should follow shortly thereafter. Learn how to perform two different procedures for determining the proper stimulus of paired receptors, dependent on working off of a known Primary or known Secondary.
Paramount to the comprehension of P-DTR is an intimate knowledge of the rules of receptors. Understand how the Primary, Secondary, and Tertiary receptors are each effected in turn by performing proper, opposite, and anti stimulus to one piece of the dysfunction. Follow along as each rule is demonstrated to make better sense of phenomena that present both during real life and on the treatment table.
While high signal Primary and Secondary receptors follow similar rules, low signal Tertiaries adhere to a different set of rules entirely. Learn how to locate Tertiaries, how they behave, and how they are effected by other parts of a dysfunction.
Deep Tendon Reflexes are performed throughout treatment sessions for various purposes. Learn how to utilize DTR's to differentiate main from virtual Secondaries, take a dysfunction to basic mode, as well as to ultimately treat dysfunctional patterns using P-DTR.
Nuclear bag and chain receptors are unique in that they are the only two receptors located inside of the muscle spindle itself. Learn the neurological pathway as well as the proper, opposite, and anti stimulus for each of these receptors. See examples of multiple nuclear bag and chain patterns, including both basic/multi mode as well as hyper mode level dysfunctions.
While classical nuclear bag and chain dysfunctions contain paired receptors between dysfunctional muscle spindle fibers in two separate muscles, Reactor Reactives are a unique type of dysfunction in which the paired bag and chain fibers are actually contained within the same muscle. Learn how to assess for these dysfunctions as well as multiple options for treatment.
Events refer to a collection of multiple types of receptor dysfunctions that are all brought on following a trauma. Learn how to assess for physical, emotional, and chemical events as well as the proper treatment protocol.
Different inhibition patterns can be seen for all nocioceptors depending on which level of the brain or spinal cord the afferent signal is blocked at. Learn the classic presentation of NWR and PMRF inhibition patterns as well as the graded progression of these patterns as related dysfunctions increase in severity.
Neospinothalamic and paleospinothalamic dysfunctions are two of the most common nocioceptive dysfunctions. Learn the neurological pathway, fiber type, neurotransmitter, inhibition pattern, as well as proper, opposite, and anti stimulus for each of these receptors. See examples of multiple neo and paleo patterns, including both basic/multi mode as well as hyper mode level dysfunctions.
Impact paleos dysfunctions are unique in that they are located inside of the actual joint. These can be extremely damaging to force transmission and make profound changes when properly assessed and treated in patients. Learn how to assess all distal joints as well as all regions of the spine for impact paleos. See multiple examples from start to finish, including both shoulder and spine impact paleo dysfunctions and corrections.
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