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PSNS II: Advanced Clinical Skills (SEA)

October 5-6th, 2018 2-Day Course ($500)

PSNS (Parasympathetic) Treatment II is a 2-Day, lab-based course that addresses the underlying principle and treatment approach to Neural Dynamic Reintegration© (NDR). Neural Dynamic Reintegration© is based upon the fact that chronic biomechanical dysfunction occurs due to aberrant sensorimotor reflex arcs. The basis of all reflex arcs is that there is a sensory input acted upon by some level of neuronal processing with a motor response of some type. In this case, the motor response is chronic and unvarying which leads to breakdown of the biomechanical system. Clinically, this presentation would be chronic weak core or hip abductors or a chronically tight hamstring. This course reveals how to understand these interactions and how to abolish them.


While many treatment approaches attempt to change or cut out the motor response, Neural Dynamic Reintegration© seeks to undermine the aberrant sensory impulse by identifying its source and cause of improper feedback. Knowledge of the location and interaction of the specific sensory neurons involved, known as General Visceral Afferents, comes to us through the work of Henry Head, MD in his study of herpetic infection.

Neural Dynamic Reintegration© is a 2-hand technique that relies on palpatory and provocation test feedback obtained during stimulation of autonomically innervated structures. This feedback guides appropriate and effective treatment to undermine aberrant reflex arcs that cause autonomic dysregulation often resulting in pain and specific clinical symptomatology that involves a lack of serous mucous production or decreased local blood flow. 

In this class, Neural Dynamic Reintegration© will be discussed in relationship to neurologic function, embryologic  and pathologic development and its use as a diagnostic and treatment tool for dysfunction and pathology such as pelvic inflammatory conditions, small and large bowel dysfunction, chronic sinusitis, headaches, jaw dysfunction, chronic eye strain, tinnitus, face, neck and head pain, results of dental treatment and associated dysfunction, processes and sequelae. The alteration of motion and function that presents as tenderness, stiffness, changes in center of motion (i.e. neutral behavior) and / or loss of range motion will be discussed in light of the type of dysfunction present.

Target audience: Healthcare providers including, but not limited to:

MD, DO, PT, AT, DC, MT, RN, OT, ND and other licensed or certified healthcare providers.

BOC Advanced Level:

16 contact hours – 16 1-A hours anticipated  


Instructor: Neal O'Neal, PT 

Class is held 9-6 Friday and Saturday. 


Fees: $500/student, Course limited to 12 students.


Learning Objectives: Upon course completion, the participant will be able to-

1) List the Cranial Nerves that have Parasympathetic and General Visceral Afferent neurons and their relevant course through the head, neck, abdomen, and pelvis.

2) Identify, palpate and test irritation of the structures innervated by the autonomic nervous system and determine the irritated sympathetic and/or parasympathetic nerves responsible for the clinical symptoms,

3) Demonstrate and describe effective use of NDR as a 2-Hand Technique for treatment of nervous system dysfunction,

4) Perform appropriate Global and Regional provocation tests for the head and neck.


PSNS Centers of the Body

  1. Autonomic Neurology 

    1. Somatic or Peripheral Feed (PNS)

    2. Autonomic Feed

      1. Sympathetic (SNS) Feed

        1. Chain Ganglia 

          1. Symptomatology

      2. Parasympathetic (PSNS) Feed

        1. CN III, VII, IX, X, S2-4

          1. Innervated Structures

          2. Symptomatology

      3. General Visceral Afferents (GVA)

        1. Head and Neck

        2. Abdomen

        3. Pelvis

  2. Global and Regional Provocation Tests

  3. Testing for Irritated Structures

  4. Treatment

    1. Somatic Approaches​

    2. Neurological Approaches

      1. Neural Dynamic Reintegration 

      2. Chapman’s Neurolymphatic Technique

      3. Ganglia Treatment


Materials Provided: A binder of the course materials will be provided to each student to follow along and take notes during the lecture and lab portions of the class.


Purpose: The purpose of this class is to develop an integration of knowledge of PSNS treatment throughout the body to optimize autonomic function and bridge the gap of how to successfully decrease the symptomology caused by dysfunction of the PSNS and how to balance that treatment with treatment of the SNS. This class is important to all healthcare providers especially ATs that come in contact with patients with a loss of serous mucous fluid production with a resultant odd clinical presentation that has exhibited a poor outcome to traditional approaches.

Expected outcomes are to develop effective delineation and treatment strategies based upon a greater integration of knowledge of the anatomy, physiology, and embryology of the autonomic nervous system and recent evidence concerning the role of inflammation.


This class will enhance participant learning through the use of discussion, audio-visual materials, recent research evidence as to the interworking of the parasympathetic, sympathetic, and neurohormonal axis of the body as well as new evidence of epigenetic changes that effect function secondary to inability to mesh parasympathetic center signaling.

(Course cost: $500; if you can only attend one of the days, arrangements can be made by contacting us, then course cost would be $250).






Pursuit PT understands that emergencies happen and that plans change; therefore we have created policies to deal with requests for refunds on courses.


Refunds can be requested prior to attending a course sponsored by Pursuit PT, however if you have attended the course and received your CEUs no refund will be given.


All classes are confirmed 30 days prior to the start date and are dependent upon sufficient registrants. Classes may be cancelled due to insufficient enrollment. Pursuit PT is not responsible for any loss of funds due to cancellation of a course.


A full refund will be issued if Pursuit PT cancels the course. No refund will be issued if a course is in progress and is interrupted by an Act of War or God, weather, natural disasters or issues beyond our control.


Cancellations will be posted on our web site and registered attendees will be notified by email.


Full refund will be provided if you cancel the course at least 30 business days before the course for any reason. Full refunds can be obtained up to 20 business days before a course if an emergency has occurred.


To receive a full refund less $100 administration fee for a class, registrant must submit request in writing 30 days prior to the start date of the Pursuit PT course.


After these deadlines, you will only receive a 50% refund or full credit toward a future class less a $100 administration fee.


If a registrant cancels after the 30-day period, the tuition less $100 administration fee may only be applied toward a future Pursuit PT course within a twelve-month period from the original cancellation date. This may only occur once within a twelve-month period. After the twelve-month period, all monies will be forfeited.







9am – 10:30am       Clinical Neurology (Lecture)

10:30am –  12pm     Motor Neuron fiber types and the clinical relevance

12pm – 1pm             Lunch

1pm – 1:45pm          Global and Regional Provocation Tests (Lab)

1:45pm – 3:45pm     Neural Dynamic Reintegration (Lab)

3:45pm – 6:00pm    Chapman's Neurolymphatic Treatment (Lab)



9am - 10:30am        Clinical Embryology and Neurology

10:30am - 12pm       SNS and PSNS Symptomatology

12pm - 1pm              Lunch

1pm -   3pm             Functional / Weight-Bearing Provocation Testing

3pm - 6pm              Functional / Weight-Bearing Treatment

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