NCBTMB Continuing Education & Certification Courses Muscle Energy Technique: Elements of MET have been described and documented for many years. Fred Mitchell Sr. D.O., F.A.A.O. is generally given credit for developing the MET system in its modern day form. Muscle Energy offers a complete approach to diagnosis and treating somatic dysfunction with an arsenal of both direct and indirect techniques. With MET, the patient performs an isometric contraction wherein the following physiologic changes occur: Golgi tendon organ activation results in direct inhibition of agonist muscles; a reflexive reciprocal inhibition occurs with respect to the antagonistic muscles; the patient relaxes, agonist and antagonist muscles remain inhibited allowing the joint to be moved further into the restricted range of motion. Muscle Energy Technique can be used whenever somatic dysfunction is present and/or whenever there is a need to normalize abnormal neuromuscular relationships; improve local circulation and respiratory function; lengthen restricted muscles and or mobilize restricted joints. In this course you will be introduced to history, application, theory and technique of Muscle Energy. The application will be demonstrated and applied in class to all areas of the body. You will be taught proper technique and then guided through practical application with a high teacher to student ratio to promote the full understanding of the material in action. Highlights Muscle Energy I - Introduction & Cervical Spine Muscle Energy II - Thoracic Spine Muscle Energy III - Ribcage Muscle Energy IV - Abdomen, Lumbar, Sacrum & Pelvis Muscle Energy V - Oculocephalogyric Reflex Upper & Lower Extremities, Isotonic & Isolytic Applications Spinal Mechanics I - Cervical Spinal Mechanics II - Thoracic Spinal Mechanics III - Mechanics of Harrison Fryette, D.O. Spinal Mechanics IV - Lumbar Spinal Mechanics V - Sacrum Visceral Manipulation: Presents a model that may be used to locate and solve problems throughout the body. It encourages your own natural mechanisms to improve the functioning of your organs, dissipate the negative effects of stress, enhance mobility of the musculoskeletal system through the connective tissue attachments, and influence general metabolism and wellness. In this first encounter of Visceral Manipulation the therapist will learn the concepts of mobility and motility of the viscera and their clinical correlations to organ and musculoskeletal well-being. The organs studied in this module include: the liver, gall bladder, esophagus stomach, and the small and large intestines and their respective fixations. Highlights Visceral Manipulation - Abdomen, Part I (liver and gall bladder) Visceral Manipulation - Abdomen, Part II (esophagus stomach) Visceral Manipulation - Small and Large Intestines Visceral Manipulation - "Sphincter Like Areas" Disc Pathology (Degeneration & Herniation) Lumbar Pain & Sciatica Irritable Bowel Syndrome Gastroesophageal Reflux Disease Advanced Visceral Manipulation: In this course the therapist will focus on the manipulation of the viscera of the thorax and pelvis and learn the concepts of mobility and motility and their clinical correlations to organ and musculoskeletal health and proper function. Global diagnosis of the viscera and inhibition are taught as an expansion of the local and regional diagnostic tools already acquired from the basic visceral course. The thorax is unique in that it must provide protection to the vital organs while at the same time allowing for reasonable movement and protection of highly vascular organs. The course material will cover the thorax using long bone compression, recoil technique, and exploring pulmonary fissures and the axes of the lungs utilizing a motility focus. Organs studied in the thoracic component of this module include lungs, trachea, bronchi, mediastinum, heart, pericardium, and diaphragm. The pelvis is explored using both motility and mobility focusing on diagnosis and treatment of the ligamentous support structures as they relate to the uterus, bladder, ovaries, fallopian tubes, vas deferens, ureters, kidney, adrenal glands and more. This course is a wonderful extension of the skill set obtained from the basic visceral course. Highlights Visceral Manipulation IV (Thorax) Visceral Manipulation V (Global Diagnosis) Visceral Manipulation VI (Thermal Diagnosis) Hua Shan Pa Chi Gung & Visceral Osteopathy Visceral Manipulation III (Pelvis) Thoracic Cage Compliance Sports & Performing Arts Manipulation Neuropathy & Complex Regional Pain Syndrome Adhesive Capsulitis Cervical Radiculopathy & Brachioplexopathy Fertility, Infertility & Dysparunia Menstruation & Pre Menstrual Syndrome Incontinence of the Bowel & Bladder Craniosacral Manipulation: This foundational course begins with application and theory for treatment of the entire body via the cranium, sacrum, and dura mater. We will explore history of the modality from its beginning with Dr. Sutherland and Dr. Weaver to more modern theories. The course will discuss the "five phenomena" originally published by Dr. Sutherland of which the Primary Respiratory Mechanism (PRM) is derived. The PRM Dr. Sutherland believed was the breath of life that was driving inherent wellness. The therapist will learn to evaluate and treat the structures of the cranial vault and sacrum as well as the diaphragms, which propagate the PRM. The course will explore anatomy and theories of causation of the primary respiratory mechanism, the physiology of the PRM as well as contraindications and a protocol for treatment of the vault, diaphragms and sacrum. Highlights Craniosacral Manipulation - Theory Craniosacral Manipulation - The Vault Craniosacral Manipulation - Sphenobasilar Diagnoses Diaphragm diagnoses and treatment Cranial Vault Protocol Pharmacologic Implications Temporal Dysfunction, Dizziness, Vertigo & Tinnitus Seizure Disorder Advanced Craniosacral Manipulation: Intraoral, the face, dorsum sellae and specialty techniques will continue our journey through this cranial approach. Intraoral techniques will unlock physical maladies such as TMJ and cervical pain as well as emotional lesions via the "avenue of expression." We will explore the effect of the Primary Respiratory Mechanism (PRM) on the facial bones as well as discuss and demonstrate advanced cranial theories such as "anterior midline and embryologic unfolding" and the role of the dorsum sellae, theories advanced by Dr. Sutherland and Dr. Weaver which help to manifest the body’s own restorative and healing mechanisms. Highlights Craniosacral Manipulation - Intraoral Technique Craniosacral Manipulation - The Face Craniosacral Manipulation - Anterior Midline Craniosacral Manipulation - Global Diagnosis Craniovisceral Integration Pediatric Integration Chronic Sinusitis Temporomandibular Joint Dysfunction Attention Deficit Disorder & Attention Deficit Hyperactivity Disorder Craniosynostosis & Plagiocephaly Minimal Brain Injury Trauma, Force Vectors, and the Emotional Component Lymphatic Drainage: The lymphatic system is a vital system of the body that must not be neglected, emphasized Dr Still, who wrote, "We lay much stress on the uses of blood and the powers of the nerves, but have we any evidence that they are of more vital importance than the lymphatic’s?" The Lymphatic system and its distribution is ubiquitous throughout the body and intimately involved in maintaining good health by ridding your body of wastes and fighting infections. Poor lymphatic flow may lead to swollen limbs, infections and general health decline. In this module ou will learn original and advanced theories of this low-pressure pervasive system and evaluation and treatment for congestive conditions such as swollen limbs, edema and respiratory restrictions including asthma, bronchitis, and the common cold. Highlights Lymphatic activation technique Cross fiber lymphatic technique Liver & Splenic pumping techniques Recoil application for the lymphatic system Lymphatic composition and hydration Dr. Millard’s observations of the lymphatic system Myofascial Release (MFR): These techniques will give the therapist a vast array of tools for the deep tissue patient as well as the patient who needs the gentlest of touch. MFR utilizes the fascia and muscular system to achieve change. This integumentary system has an incredible tensile strength and is contiguous throughout the body covering muscles, nerves, and separating body cavities and even integral to the immune system. Light pressure Myofacial Release will give the therapist that gentle handshake of interaction while deep pressure will unlock old and stubborn traumas buried in the muscle bellies. This course will offer complete evaluation and treatment for the musculoskeletal system including low back pain, neck pain, shoulder pain, tennis elbow and more. Highlights Biomechanical Whole Body Diagnosis & 10 Step Exam Dr. Zink's Common Compensatory Pattern - Fascial Patterns Myofascial Release - Cervical, Thorax & Ribcage Myofascial Release - Lumbar, Sacrum, Pelvis & Lower Extremity Myofascial Release - Shoulder, Upper Extremity, Face & Scars The Importance of Fascia Gravity & Fascial Compensation Travel's Trigger Points Homunculi, Dermatomes, Myotomes, & Sclerotomes Advanced Myofascial Release: This module will explore Ligamentous Articular Strain (LAS) technique and its application thought the body to address muscular imbalance and fascial strain patterns where ever they might occur. This body of advanced soft tissue techniques that has been preserved by the Dallas Osteopathic Study Group. The study group, at one time organized by Dr. Robert Fulford, Dr. Rollin Becker and Dr. Allen Becker, described these LAS techniques as "how Dr. Sutherland (known for Cranial osteopathy) treated the rest of the body. It is the believed, by some, that Ligamentous Articular Strain, are the actual techniques used by Dr. Still in the origins of osteopathy. classical techniques such as the "bootjack technique" and many others will be introduced and perfected. Highlights History of LAS LAS theory of injury exaggeration Classical techniques Disengagement Tissue balancing Strain-Counterstrain: In this module you will learn Strain-Counterstrain technique, developed by Dr. Lawrence Jones, and its application to the entire body. This body of work is indirect and patient passive, and as such, is particularly useful for patients in acute pain. Coupled with the application of CS will be taught Facilitated Positional Release (FPR) developed by Dr. Stanley Schiowitz and Dr. Eileen DiGiovanna will enhance skills learned in Counterstrain to make an improved armamentarium of soft tissue techniques applicable in nearly any situation. Finally, we will incorporate Functional Technique, developed by Dr. William Johnston, which will give the operator the ability to balance motor units using subtle motions and breath. This combination of Strain-Counterstrain, Facilitated Positional Release, and Functional Technique will give the therapist a complete tool box for addressing muscular and fascial pain throughout the body. Highlights Counterstrain I - Cervical, Thorax, Lumbar & Sacrum Counterstrain II - Ribcage, Abdomen & Pelvis Counterstrain III - Shoulder, Upper & Lower Extremities Facilitated Positional Release - Whole Body Functional Technique I - Cervical Spine Functional Technique II - Thorax, Lumbar, Sacrum & Ribcage Functional Technique III - Upper & Lower Extremities Internships: OHWI sponsors internships offering students from around the world one-on-one, hands-on osteopathic training in a clinical setting. We also sponsor study groups, allowing healthcare practitioners an enlightened and nurturing environment to further enhance their abilities as healers. The OHWI Institute Dr. Sanet believes in the Osteopathic philosophy and treatments which help activate the body s own healing mechanisms and guarentees to give 100% of his skill toward your healing. Medical Treatments Treatments Osteopathy has provided the pathway toward healing many types of illnesses that have failed other treatments through restoring blood flow and lymphatic flow and enhancing respiration through the relaxation of body tissues. Patient Testimonials Courses OHWI welcomes all licensed practitioners from all countries into its comprehensive training programs available in North America, Europe, and Asia. Educational Testimonials