PSNS I: Revisited (SEA)

February 5-6th, 2021 2-Day Course ($500)

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PSNS Treatment I Revisited:

 

 

     PSNS (Parasympathetic) Treatment I Revisited is a 2-Day, lab-based course that makes use of the work of Henry Head to develop a rational for treatment of the limbic system as a coordinator of response to disease and dysfunction within the body. The limbic system motor response to the information presented by the autonomic nervous system, both sympathetic and parasympathetic, is displayed in the pharyngeal arches. Whole body treatment thus requires an ability to disengage a chronic limbic system response in the pharyngeal arches along with the localized visceral problem that is stimulating chronic SNS/PSNS nociception.

     Sir Henry Head, MD, an English neurologist, 1861-1940, discovered and mapped zones with maximum areas in the pharyngeal arches that exhibit reflex hyperesthesia and hyperalgesia in patches of deep tissue. These Head Zones are the result of chronic nociceptive autonomic feed to the limbic system and subsequent motor reaction to visceral disease throughout the body. Through his study of sensation and human response especially as seen through disease processes, Dr. Head revealed the actions and interactions of the cranial and pelvic nerves (later named the parasympathetics) with the sympathetic nerves and how those two arms of the autonomics feed into the brainstem and the limbic system. Most interestingly, Dr. Head demonstrated that a motor response from the limbic system was enabled that was portrayed in the pharyngeal arches. Most people can tell you that internal physical states are often portrayed on the face such as occurs when the internal puckering of the oropharynx is effectively projected to a person’s face when a lemon is sucked.  This projection is there for our social group to read and react to socially. If someone eats a lemon, everyone else picking fruit from the same tree will know that it is probably tart. So, it is a normal consequence that our internal physical state be projected onto our head, face, neck, and upper chest. Dr. Head expands this nearly self-evident truth to include chronic disease states will also be displayed on the pharyngeal arches. Most importantly, Dr. Head reveals these areas or zones are part of a reflex arc that must be addressed to change the underlying whole nervous system response to internal disease or dysfunction (the stretch nociception of visceral disease / dysfunction stimulates GVA’s and that information ultimately is presented to the limbic system for processing and response before being passed to the conscious mind). The great revelation of Dr. Henry Head is that the ANS provides information to the limbic system which determines responses to health and illness that end up being communicated emotively (thus being the framework for building social networks- the original “facebook”). Simply put, the processing of our internal visceral milieu by the sympathetics and parasympathetics stimulates the limbic system to have a motor response that is exhibited in the pharyngeal arches as an expression. This situation occurs as chronic areas because of the chronic nature of visceral nociceptive feed. This chronic pharyngeal motor response is measurable as areas or zones of hyperesthesia and hyperalgesia deep in the related tissue.

  

     Through a careful study of Dr. Head's work, an integrated treatment approach to eye problems, tinnitus, alterations in taste and smell (such as occurs after viral infections such as Post-COVID-19 Syndrome, Bell's Palsy, etc.), face, neck, head pain, other body pains, and sensori-emotive-motor response to disease is revealed. Chronic pain and dysfunction are due to aberrant sensori-emotive-motor reflex arcs and their integration to the limbic system. The basis of all reflex arcs is that there is a sensory input reacted upon by some level of neuronal processing, spinal cord / brainstem but also in this case the limbic system, with a motor response of some type (so, problematic here is that there is both a sympathetic and parasympathetic motor response form the same brain structures- the limbic system structures that then sends out a motor response over the SNS and PSNS that meet up in the pharyngeal arches as Head Zones). In this case, the motor response is chronic and unvarying which leads to breakdown of the biomechanical system, dysfunction, and sensory irritation (symptoms). This course reveals how to understand these interactions through knowledge of what neurons and ganglia those reflex arcs go through and how to appropriately abolish the aberrant sensory input and read the emotional affect elicited by the aberrant inputs. To be certain, manual therapy is focused on how the limbic structures are set off by the aberrant sensory inputs but there are both PSNS and SNS GVA providing that sensory input. So, this is a clinical sensory-emotive-motor treatment course, not a somato-emotional release course though the distinction can be difficult to understand at times. That is why, in this course, we will start with the sensory neurons while measuring the motor response and the neurons that are both motor and emotive through expression.

 

    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 that often result in pain and specific clinical symptomatology including a lack of serous mucous production or chronically increased or decreased local blood flow. 

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.

 

 

 

POLICY ON CANCELLATIONS AND COURSE REFUNDS

 

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.

 

 

 

 

Schedule:

Friday-

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)

 

Saturday-

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