Zoom Access to The Craniocervical Complex in Posture--(St. George, UT)

March 5-6th, 2021



     This course is designed to introduce the manual practitioner to manual therapy techniques and their appropriate use in problems of the cranial base and cervical spine that arise in sitting, laying, and functional cervical motions (where the visual field is tilted by motion).The focus of this class is on the biomechanical ability of the cervical spine and cranial base to allow these motions and appropriately integrate the righting reflexes into motion.


   Neural and biomechanical integration of the upper extremity, chest, sternomanubrium, hyoid, cervical spine and cranial base into posture in various positions requires detailed knowledge of the anatomy, physiology, neurology, embryology and dynamic force relationships of these various structures. This course provides the participant with an extensive knowledge of these areas and the intricacies of their interrelationships.

The craniocervical joints, ligaments, muscles, fascia, vascular and neural components will be discussed from an embryological, vertebral, biomechanical and arthrokinematic standpoint. Assessment and treatment will include Muscle Energy, Joint Mobilization, Trigger Point, Counterstrain, cranial mobilization, visceral, and Myofascial Techniques employed and demonstrated in laboratory session.

Pain is the top reason patients seek treatment. Most clinical presentation of pain is NOT due to acute trauma which poses a problem for the current medical system approach. When that pain is due to trauma, the referral pattern of injured tissue is not well described by the academic community, also a huge problem for the clinical treatment of craniocervical dysfunction. To successfully treat non-acute onset of pain can be difficult. A deeper understanding of the neurological and biomechanical interaction of the craniocervical spine, upper thorax, and upper extremity such as is required in variable posture must be used as a tool to understand the functional and dysfunctional interaction of these areas.

Zoom Craniocervical Complex in Posture March 5-6th, 2021

  • Learning Objectives:

    1)  Detail the arthrokinematic, fascial, and biomechanical function and the significant local variances throughout the craniocervical, hyoid, upper thorax, and proximal upper extremity as they relate to function and dysfunction in this area.

    2) List and correctly differentiate the postural reflexes of this area.

    3) Demonstrate appropriate MET, Trigger Point, Counterstrain, Neural Dynamic Reintegration, and Myofascial Techniques as appropriate to restore proper arthrokinematic, fascial, and biomechanical function.

    4) Demonstrate global, regional, and local provocation tests and detail the appropriate analysis of the results of these tests in a patient with dysfunction in the head and neck region.


    I. Manual Treatment of the Craniocervical Complex

           A. Overview

                  1. Anatomy, Physiology, Neurology, Embryology

                         a. Craniocervical- osseous, ligament, and spinal nerves

                         b. Upper Extremity

           B. Somatic Dysfunction

                  1. Testing

                  2. Motion Loss

                  3. Motor Loss

                  4. Integration Loss

           C. Treatment Strategies​​​​​​

                  1. Postural Adaptive Patterns

                  2. MET-type, Trigger Point, Counterstrain-type treatment

                  3. Neuro-Dynamic Reintegration©

                  4. Practitioner Applied Stretches

  • 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 provide the clinical practitioner with the knowledge of how recent research has changed current clinical treatment approaches to the posturally adaptive craniocervical spine and upper extremity. 

    Expected outcomes are to develop effective delineation and treatment strategies based upon an integration of new information and the extensive body of knowledge of the anatomy, physiology, and embryology of the craniocervical complex. This class will enhance participant learning through the use of discussion, audio-visual materials, recent research evidence, and extensive lab-based learning.

    According to the education levels described by the PDC, the following continuing education course is considered to be Advanced Level.


    Instructors: Neal O'Neal, PT

    Class is held 9-6 Friday / Saturday and will be a combination of 25% Lecture and 75% Lab.


In The Norsk Complex

14961 NE 95th St

Redmond, WA 98052



Email:   frontdesk@pursuitpt.com

Phone: (206) 856-9305

Fax:      (425) 955-0203

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