Thoracic Cage I: 

Manual Treatment of the Thoracic Spine,

Ribs, and Sterno-manubrium  

(SLC), Feb 9-11, 2018

Understanding this area separates you from your peers. This course will give the participant an appreciation of the interrelationships of the various components of the thoracic cage with the emphasis on the effect of dysfunction on the entire mechanism as it relates to overall health.

The thoracic cage joints, ligaments, muscles, diaphragm, fascia, vascular and neural components will be discussed from embryological, vertebral, rib biomechanical and arthrokinematical standpoints. Assessment and treatment will include Muscle Energy Techniques, Counterstrain, Travell concepts and myofascial techniques employed and demonstrated in laboratory session.

The Thoracic Cage is the greatest orthopedic cause of chest pain, heart palpitations, shortness of breath, shallow, altered or painful breathing and non-specific anxiety.

A Torsioned Rib is the single greatest postural adaptive problem in the thoracic cage. This problem is so nefarious because the body adapts above it to the base of the skull and below it to the pelvic floor but not through it so the patient is left in a compensated dysfunctional state.

The Advanced Clinician must be able to reduce a Torsioned Rib and treat the sequelae. This class on Thoracic Cage will directly address the dysfunctions that lead to a Torsioned Rib, how to reduce that problem into its constituent dysfunctions, and how to treat those problems as well to maximize cardio-respiratory and cardio-vascular (to include lymphatic drainage) function. Those who treat patients with negative cardiac markers but positive cardiac symptoms will benefit greatly from this highly focused lab-based class.

This class explores the basis for treatment of the thoracic cage to include thoracic spine, costal and chondral ribs, sternum, manubrium, and clavicles. Specific focus will be given to global and local challenge testing, clinical knowledge of embryology, anatomy, and neurology, and selective tissue palpation as diagnostic tools and guides to treatment.

Proper assessment of somatic dysfunction requires identification of altered tissue function that results in altered mechanics, altered autonomic tone, aberrant reflex arcs, and abnormal fluid mechanics. This class focuses on the development and advancement of clinical skills to differentiate normal vs. abnormal tissue states (i.e. sympathetic / parasympathetic dominant tone vs. neurohormonal vs. reflex arc driven dysfunction). Specific focus will be given to the identification, localization and treatment of Muscle Energy type dysfunction, Jones Tender Points, Trigger Points, and Neuro-Dynamic Reintegration© (NDR©- 2-Hand technique) in the head, neck, upper thorax and upper extremity. This course is recommended for manual therapists and those licensed to treat patients with hands-on technique. 

Thoracic Cage I: Manual Treatment of the Thoracic Spine, Ribs, Sterno-manubrium (SLC)


February 9th, 10th, and 11th, 2018 at


Courtyard Salt Lake City / Sandy

10701 S Holiday Park Drive

Sandy, Utah 84070 USA


Target audience: Licensed healthcare providers including, but not limited to:

PT, AT, DC, MT, RN, OT, LMT, and ND.


BOC Essential Level

18 contact hours – 18 1-A hours anticipated  


Instructors: Neal O'Neal, PT and Dennis Eaton, MPT

Class is held 9-5 Friday / Saturday and 8-12 Sunday.


Fees: $650/student, Course limited to 24 students.


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

1) Palpate the discrete structures of the thoracic spine, costal and chondral ribs, clavicles, sterno-manubrium, and thoracic inlets and outlet;

2) Ask appropriate patient history questions that take into account new, research-based understanding of thoracic function;

3) Identify, palpate and test motion or irritation of the thoracic cage to include joints, capsules, muscles, fascia, blood vessels, and lymphatic tissue.

4) Demonstrate various treatment strategies such as muscle energy type release, counterstrain-positional release, Neurolymphatic and Neurovascular Techniques, and NeuroDynamic Reintegration© (NDR©).

5) Perform appropriate Global and Regional provocation tests for the thoracic cage.


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 thoracic cage. 

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 thoracic cage. This class will enhance participant learning through the use of discussion, audio-visual materials, recent research evidence, and extensive lab-based learning.




ANS Balance HRV 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 ANS Balance HRV, 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. ANS Balance HRV is not responsible for any loss of funds due to cancellation of a course.


A full refund will be issued if ANS Balance HRV 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 ANS Balance HRV 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 ANS Balance HRV 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 – 12pm             Anatomy and Neurology of the Thoracic Cage (Lecture)

12pm – 1pm             Lunch

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

1:45pm – 2:30pm     Testing for Irritated Structures (Lab)

2:45pm – 5pm           Somatic Treatment of the Thoracic Cage- Counterstrain



9am – 9:30am          Current Research discussion (Interactive Discussion)

9:30am – 10:30am   Somatic Treatment of the Thoracic Cage- MET assessment (Lab)

10:30am – 12pm      Somatic Treatment of the Thoracic Cage- MET treatment (Lab)

12 – 1pm                   Lunch

1pm  – 2:30pm         Somatic Treatment of the Thoracic Cage- STM treatment (Lab)

2:30pm – 5pm          Somatic Treatment of the Thoracic Cage- STM treatment (Lab)



8am – 10am              NeuroDynamic Reintegration©- assessment-  (Lab)

10am – 11am            Neurological Approaches- Ganglia Treatment (Lab)

11am – 12pm            NeuroDynamic Reintegration©- treatment-  (Lab)