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Thoracic Cage II: Advanced Rib Treatment

Redmond, WA

April 17-19th, 2020


Location:  Pursuit Physical Therapy

                  14961 NE 95th St

                  Redmond, WA, 98052


Cost- $650


Hotels we suggest:

​Hyatt House Seattle/ Redmond, 15785 Bear Creek Pkwy, Redmond, WA


Baymont by Wyndham Seattle/Kirkland, 12223 NE 116th St, Kirkland, WA

Hampton Inn & Suites Seattle/Redmond, 17770 NE 78th Pl, Redmond, WA 

Thoracic Cage II: Advanced Rib Treatment will begin with a refresher in structural treatment of the thoracic vertebrae and ribs. From there, Thoracic Cage II will guide the manual practitioner to a mastery of respiratory rib treatment. The entwined function of the ribs as respiratory structures leads to the need for a thorough review of Inhaled vs. Exhaled Ribs, Sternomanubrial dysfunction, and the structural synchrony of the Cranial Base, Falx Cerebri, Tentorium Cerebelli (diaphragms), the Thoracic Inlet (a diaphragm), and pelvic diaphragm all with the respiratory diaphragm. This whole body respiratory synchronization must be measured against the reshaping of the thorax with an emphasis on A-P excursion of the upper chest as any deformation of the chest will lead to a re-onset of dysfunction through the 23,000 to 32,000 respiratory cycles in a day. The consequences of faulty shoulder mechanics on the patency of the A-P chest excursion will be discussed as well. 


Specific clinical focus will be given to global and local challenge testing, clinical knowledge of embryology, anatomy, 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 identify, localize, and treat Muscle Energy type dysfunction, Myofascial Release, Jones Tender Points, Trigger Points, and Neuro-Dynamic Reintegration© (NDR©- 2-Hand technique) in the head, neck, thorax, pelvis, and upper extremity.


Target audience: All 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. Participants will learn the pertinent embryology/neurology of the respiratory diaphragm in its relation to clinical practice.

  2. Participants will learn the pertinent anatomy/biomechanics of the respiratory diaphragm in its relation to clinical practice.

  3. Participants will learn key assessment skills and the use of selective tissue palpation to obtain a thorough evaluation and identification of specific thoracic cage dysfunctions to include:

    • Sclerotomic and myofascial somatic dysfunctions. 

    • Type II vertebral somatic dysfunctions. 

    • Structural rib somatic dysfunctions. 

    • Respiratory rib dysfunctions (inhaled/exhaled). 

    • Upper extremity, clavicle and sternomanubrial complex somatic dysfunctions.

    • Cranial base, reciprocal tension membranes, thoracic inlet, pelvic and urogenital diaphragm somatic dysfunctions. 

  4. Participants will learn specific treatment techniques with an emphasis on: 

    • Establishing synchrony of the cranial diaphragms, thoracic inlet, pelvic and urogenital diaphragms with the respiratory diaphragm. 

    • Reshaping of the entire thorax understanding that A-P excursion of the upper chest is critical to obtaining optimal respiratory mechanics. 

  5. The participant will learn specific treatment techniques to include Strain/Counterstrain, Muscle Energy, Travell trigger points, Myofascial Release, PINS (Progressive Inhibition of Neuromuscular Structures) Technique, and Neurodynamic Reintegration© (NDR 2-Hand Technique).

  6. Participants will learn specific home exercise applications for patients with respiratory somatic dysfunction.


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)