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Parasympathetic (PSNS) Centers of the Head and Neck

Treatment of the PSNS (parasympathetic) Centers of the Head and Neck is at an instructional level 2 to 3 (assumes that the participants have a general familiarity with the topic, so it focuses on increased understanding and application of treatment modalities with a moderate amount of advanced instruction). This class presents the knowledge based treatment strategies that can be devised through palpation and detailed geographic understanding of anatomy and physiology of the head and neck. This information is particularly powerful when guided by the measure of neurohormonal function and responsiveness to practitioner intervention. In this class, that palpatory information will be discussed in relationship to embryological, physiological and pathological development and its use as a diagnostic tool for dysfunction and pathology such as Chronic Sinusitis, headache, 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 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) Identify the Cranial Nerves that have Parasympathetic and General Visceral Afferent neurons and their relevant course through the head and neck,

2) Identify, palpate and test irritation of the structures innervated by the parasympathetic nerves of the head and neck,

3) Identify and correlate to clinical symptoms parasympathetic function in the head and neck,

4) Identify source and course of the sympathetic innervation of the head and neck,

5) Demonstrate and describe effective use of 2-Hand Technique for nervous system dysfunction treatment,

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


PSNS Centers of the Head and Neck  

  1. Neurology of Head and Neck

    1. Somatic or Peripheral Feed (PNS)

    2. Autonomic Feed

      1. Sympathetic (SNS) Feed

        1. Chain Ganglia of T1-4

          1. Symptomology

      2. Parasympathetic (PSNS) Feed

        1. Cranial Nerves Ganglia

        2. CN III, VII, IX, X

          1. The structures they innervate

          2. Symptomology

      3. General Visceral Afferents (GVA)

        1. Head and Neck

        2. Chest

        3. Pelvis

      4. Mixed Ganglia

        1. Superior, Middle, Inferior / Stellate Cervical Ganglia

        2. Sphenopalatine Ganglia

        3. Submaxillary Ganglia

        4. Otic Ganglia

    3. HPA-G Axis

  2. Global and Regional Provocation Tests

  3. Testing for Irritated Structures

  4. Treatment

    1. Somatic Approaches

      1. MET, Counterstrain, Mobilization, Soft-Tissue-Mobilization

    2. Neurological Approaches

      1. Sutural Release

      2. 2- Hand Techniques

      3. Chapman’s Neurolymphatic Technique

      4. 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 the PSNS centers of the head and neck and bridge the gap of how to successfully decrease the symptomology from these centers. This class is important to all healthcare providers especially ATs that come in contact with concussed patients in whom inappropriate parasympathetic symptoms will obfuscate the return to play protocols and other athletes.

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 head and neck and recent evidence concerning the working of the body in the head and neck area.


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.






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 – 10:30am        Neurology of the Head and Neck (Lecture)

10:30am – 10:45am Break

10:45am – 12pm      Neurology of the Head and Neck (cont’d) (Lecture)

12 – 1pm                   Lunch

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

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

2:30pm – 2:45pm     Break

2:45pm – 5:30pm     Somatic Treatment of the Head and Neck- STM and Counterstrain



8:30am – 9 am         Networking and discourse

9am – 9:30am          Review and discussion of Topics (Interactive Discussion)

9:30am – 10:30am   Somatic Treatment of the Head and Neck- MET (Lab)

10:30am – 10:45am Break

10:45am – 12pm      Somatic Treatment of the Head and Neck- MET, STM (Lab)

12 – 1pm                   Lunch

1pm – 1:45pm          Case Studies (Lecture and Interactive Discussion)

1:45pm – 2:30pm     Neurological Approaches- Sutural / CN 3, 5, 7, 9, 10 Inhibition (Lab)

2:30pm – 2:45pm     Break

2:45pm – 5:30pm     Neurological Approaches- 2-Hand Technique (Lab)



8am – 10am              Neurological Approaches- Chapman’s Neurolymphatic Approach (Lab)

10am – 10:15am      Break

10:15am – 11:15am Neurological Approaches- Ganglia Treatment (Lab)

11:15am – 12:15pm      Review and case studies

12:15pm-12:30pm   Assessment- Interactive Discussion of Learning Objectives

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