This Powerpoint™ file offers examples of material used in our program, including

1. NMT American Version™ School Program This Powerpoint™ file offers examples of material used in our program, including 1) Foundational lecture (history, theory, application platforms) 2) Trigger points (TrP formation, treatment choices) 3) Anatomy lectures (includes drawings, cadaver slides, and TrP referral illustrations) Lecture notes or suggestions are visible to the instructors in the “Notes Page View” by using the Powerpoint™ program’s “Presenter Tools”. Although these notes serve as a guide as to important points for each slide, customizing by each instructor is encouraged.

2. Foundational lecture samples

3. NeuroMuscular TherapyAmerican Version™ Making sense of the picture Global and local factors Know the anatomy Consider trigger points Understand trigger point formation Consider all treatment options Think outside the box

4. ‘Why is this happening?’ structural asymmetry ? overuse ? reflexive ? muscular imbalances ? trigger points ? neurological factors ?

5. ‘What’s a body to do?’ Adapt Compensate Decompensate

6. Influences on Health Biochemical Psychosocial Biomechanical

7. Trauma Postural Muscular Congenital ‘Wear and tear’ Joint dysfunction Overuse, misuse, disuse, abuse Biomechanical Biochemical Psychosocial Inflammation Dehydration Nutritional Hormonal Ischemia Toxicity “Stress” Guilt Fear Anxiety Emotions Litigation Depression Somatization

8. Read Professional Publications

9. Trigger Point lecture samples

10. Trigger Point Formation Theories Calcium charged gates release ACh at the synapse. Continuous flow of ACh produces ischemia. Ischemia contributes to a local energy crisis.

11. Sustaining the Contracture( Perpetuation ) Removing calcium requires ATP. Sustaining a contracture does not. The contracture is sustained by ACh….. Not by action potentials. This differentiates a contracture from a spasm.

12. Sustaining the Contracture( Perpetuation ) Central sarcomeres slide to fully shortened position. A contracture forms. (involuntary, without motor potential) These sarcomeres form a palpable nodule at the fiber’s center. The remaining sarcomeres form a taut band.

13. Consider These Target Zones Mediclip Manual Medicine 1 & 2 1997 Williams & Wilkins. A Waverly Co.

14. TrP Essential Diagnostic Criteria • taut, palpable band • exquisitely tender nodule in the fiber’s center (also called a ‘nidus’ or ‘active loci’) • person’s recognition of current pain complaint (active TrP) or of an unfamiliar one (latent TrP) when the TrP is provoked • painful limit of stretch range of motion (some texts note as essential, others as not essential)

15. Anatomy lecture samples This is a sample of material used in the anatomy lecture portion of the NMT school program. There are usually 4 lecture files for each region/module and these vary in length (from 15-50 screens, depending upon the number of bones, muscles, etc., being covered).

16. NMT for Cervical and Cranium Adam Interactive Anatomy CD

17. Lamina Groove Adam Interactive Anatomy CD

18. Posterior cervical muscles Color Atlas of Anatomy, 2nd edn, Rohen & Yokochi, Igaku-Shoin, Tokyo

19. Posterior cervical muscles • Trapezius • Splenii • Longissimus capitis • Semispinalis capitis • Semispinalis cervicis • Spinalis cervicis • Multifidus • Rotatores • Occipitalis • Sub occipital group • Rectus capitis posterior minor • Rectus capitis posterior major • Obliquues capitis superior • Obliquues capitis inferior

20. Posterior cervical muscles Adam Interactive Anatomy CD

21. Posterior cervical muscles Adam Interactive Anatomy CD

22. Posterior cervical muscles Adam Interactive Anatomy CD

23. Posterior cervical muscles Color Atlas of Anatomy, 2nd edn, Rohen & Yokochi, Igaku-Shoin, Tokyo

24. Trapezius Mediclip Manual Medicine 1 & 2 1997 Williams & Wilkins. A Waverly Co.

25. Trapezius Trigger Points Mediclip Manual Medicine 1 & 2 1997 Williams & Wilkins. A Waverly Co.