REPORT ON THE CONFERENCE, SMOLENSK, APRIL’28TH

On April 28, 2017 the Department of Neurology and Physiotherapy of the Faculty of Additional Professional Education of Smolensk State Medical University held the conference “Neuroreceptor therapy. The Method of Proprioceptive-Deep Tendon Reflex (P-DTR) as a division of functional neurology. From theory to practice” under the Regional State Budget Healthcare Institution “The Medical Rehabilitation Hospital”.

The Conference covered the theoretical foundation of the method, its practical exhibition and the treatment of patients. The presentations were given by Head of the Department of Neurology and Physiotherapy of the Faculty of Additional Professional Education of Smolensk State Medical University professor Gribova N.P. and physician, Board Certified in neurology, postgraduate student from the Department Korenevskaia I.A. who represented the data of the neurophysiological study “Specifics of the Electroneuromyography Parameters in Patients with Musculoskeletal Pain Syndromes Before and After the Use of the Proprioceptive-Deep Tendon Reflex Method (P-DTR)” carried by the Department of Neurology and Physiotherapy of the Faculty of Additional Professional Education of Smolensk State Medical University.

The number of studied diseases is rather high, all study subjects suffer from a pain syndrome, usually muscle and fascia pain; After the use of the P-DTR method, 100 % of subjects had a significant clinical improvement - the pain syndrome decreases or disappears, while the range of movements enhances.

 

A full report on the conference is available below.

Gribova N.P.

Professor, M.D., Head of Department of Neurology and Physiotherapyof the Faculty of Additional Professional Education of Smolensk State Medical University:

“Science does not stand still and there are changes occurring in medicine too. I always stand for new methods if they bring results. The results of the treatments by this method prove its effectiveness, and the preliminary results of the researches conducted by our department prove the existence of an interrelation among the receptor fields with which Dr. Palomar works. I am proud that it has been our department that developed a neurophysiological program and is currently carrying out the researches on this method. All this is a result of big intellectual and physical efforts of our department staff. The method works, and this is what counts, although the fact that it requires further scientific studies is undeniable. I believe that we are on the verge of new scientific discoveries in medicine and particularly in neurology.”

moscow

Press Release

Neuroreceptor therapy. The Method of Proprioceptive-Deep Tendon Reflex (P-DTR) as a division of functional neurology. From theory to practice.

Smolensk, Russia

On April 28, 2017 in Smolensk State Medical University the Conference on functional neurology «Neuroreceptor therapy. The Method of Proprioceptive-Deep Tendon Reflex (P-DTR) as a division of functional neurology. From theory to practice» will be held.

The Conference will showcase a special presentation of the theoretical explanation of the method, its practical application and the alternatives it offers in a clinical practice. It will also give an insight into emergence of certain biomechanical dysfunctions leading to further organic pathologies and how the emerged diseases can be treated in the context of P-DTR. A practical application of the method will be demonstrated on patients, as well as will be assessed efficiency, potency and significance of the method.

At the Conference the neurologists from Smolensk State Medical University will present the preliminary results received from the electroneurographic researches into P-DTR.

The Conference will be co-presented by Gribova N.P – Professor, M.D., Head of Department of Neurology, Physiotherapy and Reflexotherapy of the Faculty of Additional Professional Education of Smolensk State Medical University; Volkov A.A. – high level certificate physician, Board Certified in neurology, manual therapist of Smolensk Regional Physical Health Center; Korenevskaia I.A. – physician, Board Certified in neurology, postgraduate student at department of neurology, physiotherapy and reflexotherapy of the Faculty of Additional Professional Education of Smolensk State Medical University; and also Dr. Jose Palomar – the very founder of the P-DTR method, orthopedic surgeon, neurologist, member of the International Association DIBAK.

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The method of P-DTR is a fundamentally new approach in functional neurology. It appears to be an innovative, neurotherapeutic manual method, which offers a successful treatment of functional dysfunctions. The method is effectively applied in clinical neurology, orthopaedics and rehabilitation.

The essence of the nervous system physiology consists in receiving sensory information from the environment and a response to it. The flows of afferent information can be of various modal and quantitative characteristics. The nervous system has in its command a vast amount of segmental and suprasegmental mechanisms which allow to adapt these flows for their analysis in brain-cortex and further integration. Receptors are the initial chains of these afferent flows. According to Jose Palomar’s hypothesis, at emergence of the afferent information excessive flows, the defensive compensatory mechanisms step in. These compensatory mechanisms may lead to facilitation or inhibition of a certain group of muscles, and as a result – to changes in statics, dynamics and biomechanics of an entire body. In clinical practice, we rather face the consequences of such compensations (tonic sympathetic syndrome for example which does not necessarily always have an organic nature) and have to provide a symptomatic treatment. The Conference will cover the theoretical core of the P-DTR method from the standpoint of topical neurology, the mechanism of formation of dysfunction-compensation systems, the possibilities of applying various medicine-free methods and their efficiency from the prospective of functional neurology.

Today, P-DTR claims to be the only clinical method worldwide, which holds a theoretical basis defining efficiency of other medicine-free methods of treatment and their temporary or permanent effect. Efficiency and logic of P-DTR precisely arouse interest in studying the method by many physicians of different specialities.

Dr. Jose Palomar and his team hope that with a growing number of neurologists interested in conducting similar applied researches of the method, it can soon become an accepted form of treatment worldwide.

EDITOR’S NOTES:

Gribova N.P. – Professor, M.D., Head of Department of Neurology, Physiotherapy and Reflexotherapy of the Faculty of Additional Professional Education of Smolensk State Medical University

Volkov A.A. – high level certificate physician, Board Certified in neurology, manual therapist of Smolensk Regional Physical Health Center

Korenevskaia I.A. – physician, Board Certified in neurology, postgraduate student at department of neurology, physiotherapy and reflexotherapy of the Faculty of Additional Professional Education of Smolensk State Medical University

Jose Palomar – founder of the P-DTR method, orthopedic surgeon, neurologist, member of the International Association DIBAK.

The speakers at the Conference:

Prof. Gribova N.P.
Physician, postgraduate student Korenevskaya I.A.
Dr. Jose Palomar

The Conference will take place on March’20 2017 in
Regional State-Funded Healthcare Institution
«MEDICAL REHABILITATION HOSPITAL» at:
Smolensk, Shevchenko street, 61-a.

Participation in this event is by invitation only.

If you have any questions, please contact us at
Tel: +7 906 033 1773 +7 916 282 1183
E-mail: pdtr.info@gmail.com

Physicians, aspiring to practice the P-DTR method, have an opportunity to receive their training through an initial pre-foundation course of seminars, which include manual muscle testing. Upon successful graduation from the pre-foundation course, students are allowed to achieve a suite of P-DTR foundation, intermediate and advanced certificates. The trainings are delivered worldwide solely by and under the supervision of Dr. Jose Palomar and his team.

http://smolgmu.ru

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Does Chiropractic Have an Answer for Recurrent Ankle Sprains?

- By Scott Cuthbert, DC

Is there a measurable reason why an athlete will sprain an ankle with a turning activity that has been done thousands of times before with no trauma? Orthopedist Jose Palomar Lever, MD,1 recently evaluated 200 asymptomatic patients for the involvement of ligaments in many of the different joints of the foot.

The research design consisted of spreading apart the ligament and then manual muscle testing 40 different muscles throughout the body to see how this inhibits or facilitates remote muscles.

Twenty-one joints and ligaments were tested in these 200 patients, and the specific correlations between the joints and ligaments and the muscles they affected were listed. Generally, the calcaneal ligaments were found to affect pelvic and lower limb muscles, while the talar ligaments were more involved with neck, upper thoracic and shoulder muscles.

Lever suggests, "Because of the importance of foot proprioception and the foot's relationship to so many body problems from neurological disorganization to gait imbalances, fascial disturbances, and the inhibition of so many muscles when faulted, physical evaluation of patients should include more attention to the feet."


Dr. Scott Cuthbert is the author of Applied Kinesiology Essentials: The Missing Link in Health Care (2013), and Applied Kinesiology: Clinical Techniques for Lower Body Dysfunctions (2013), the content of which forms the basis for this and subsequent articles. Dr. Cuthbert is a 1997 graduate of Palmer Chiropractic College (Davenport) and practices in Pueblo, Colo. He has published Index Medicus clinical outcome studies and literature reviews, and 50 peer-reviewed articles on chiropractic approaches.

This article originally appeared in Dynamic Chiropractic. February 15, 2014.

More here

Four years of head aches cleared in one session

The other day I saw a young woman who is suffering from chronic headaches and jaw pain, along with a diffuse pain in the pelvic area. In our first session, we did a lot of exploration and, using a combination of NKT, PDTR, and ART, we had modest results. We found a number of muscular compensations as well as dysfunctional pain receptors. Her pain and discomfort decreased, but not to a great extent.

One of the interesting quirks of treating this young woman stems from the fact that she has a vagal nerve stimulator implanted in her neck. Every 5 minutes, the stimulator goes off, activating the vagus nerve in order to help control seizures. We determined very early that I couldn't assess her when the stimulator was active because it dramatically changed the results of the testing. On our second visit, we were chatting in order to determine where to look next when her stimulator went off. When it does, her voice takes on a distinct vibrating quality, almost like when speaking through a voice synthesizer.

At that point, I realized that if she had a vibration-based dysfunction (hyperactivity of the receptors in the body responsible for sensing vibration), then every 5 minutes she was being subjected to what would essentially be 30 seconds of traumatic stress on her system. Sure enough, PDTR testing using tuning forks showed that she responded negatively to two different frequencies of vibration.

It took perhaps five minutes to hunt down the pieces of each vibration dysfunction and clear them from her system. After walking around for a few minutes to assess the change, she reported that her jaw "felt weird." I asked how, and she said, "It doesn't hurt." I then asked how her headache was and she said she didn't have one. Just to make sure I hadn't misheard, I had her confirm that it was, in fact, the first time in four years she had no sign of a headache!

If you have unexplained pain and haven't been assessed for the myriad of sensory receptor dysfunctions that are present in all of us, then don't give up hope. As always, contact me with questions or for a referral!


Noah Drucker
Denver, Co
Drucker Pain and Performance Solutions

Demonstration: Chronic muscle dysfunction resolved with P-DTR


Commentary from patient:

This was a six-week problem that made it necessary for me to use a cane for several weeks.It began with a very painful early morning cramp in my left calf which never quite resolved.

By the time I saw Dr. Palomar, I'd had ten hours of pretty good therapy from another source, but progress was slow and I was still limited to being able to only do ONE calf raise. More than one would cause spasms and cramping throughout my left foot and calf that were so severe they destabilized my knee and made walking difficult.



The entire session with Dr.Palomar - diagnosis and treatment - took around ten minutes total with him taking the time to explain what he was doing step-by-step.

A Practitioner’s Experiences with Proprioceptive Deep Tendon Reflex (P-DTR)

P-DTR® recognizes that proprioception (sensation of touch, pressure, hot, cold, pain, etc.), and the way the body processes the information from these receptors, is paramount in determining neuromuscular responses throughout the entire body. Motor function is not just determined by the motor system, but rather is modified by the inputs of these receptors.

Using a comprehensive system of muscle testing and neural challenges, involved receptors can be located and normal function can be quickly restored. Most physical therapy and other therapeutic modalities deal with the “hardware” of the body, neglecting the fact that much of the pain and dysfunction we experience is often actually a problem with our “software”.

P-DTR® deals with the various sensory receptors (proprioceptors) of the body and the way they affect and modify our movement patterns. These receptors (those for pain, stretch, pressure, hot, cold, vibration, etc.) all send information to the brain for processing and the brain takes this feedback into account when making decisions regarding our movement.

If this information is incorrect, as is often the case, the brain is making its decisions based on bad information. Pain and dysfunction frequently result. P-DTR® uses neural challenges specific to the involved receptors and muscle tests combined with proper stimulation of the deep tendon reflex to make immediate and lasting advances toward restored function.

P-DTR is the most comprehensive and effective technique I’ve come across in my career for dealing with these “software” issues. The work is rapid, tremendously effective and unlike anything you’ve ever experienced.

Some of the benefits of P-DTR include:

  • Treats the problem, not the symptoms
  • Accelerates recovery from acute injuries
  • Eliminates lingering dysfunction and pain from chronic injuries
  • Eliminates the debilitating effects of repetitive stress
  • Optimizes athletic performance
  • Restores muscle function and coordination quickly
  • Increases range of motion, strength and stamina
  • Achieves quick, long-lasting results
  • Maximizes stability and balance throughout the entire body
  • Resolves problems you thought you’d “just have to live with”

Thomas Wells, CMT.

Santa Rosa, California.

Thomas has over 12 years of experience eliminating pain and improving function both in the clinic and in the gym. He holds credentials from numerous institutions including the National Academy of Sports Medicine and the Prague School of Rehabilitation.

He is a nationally licensed and California certified massage therapist as well as a nationally and internationally certified personal trainer. Thomas has also served as an adjunct instructor of Advanced Functional Anatomy at the Alive and Well Institute of Conscious Bodywork.

Past Injuries Causing Present Health Problems

Injury Recall Technique (IRT) is a treatment technique that is unique to those who use Applied Kinesiology. It was brought to Applied Kinesiology by Dr. Schmitt who had learned it from podiatrists.

What these podiatrists had found was that trauma on the body would change the structure of our feet which would often lead to other problems later in life. Dr. Schmitt expanded on this and found that through Applied Kinesiology techniques we are able to identify previous traumas or injuries that are affecting the current health of our patients. While the previous injuries had healed, the compensations that the body made during the injury had remained. These compensations were causing pain or health problems, sometimes in the same area of the body, but often times in seemingly unrelated areas. When treated with IRT, the compensations are eliminated and subsequent treatments produce results much quicker.

To the patient, the treatment for injury recall seems too simple to actually do anything. The patient will touch or rub the area of injury while the doctor adjusts the heel or heels that are affected. There is also a low force adjustment to the head and neck area where the doctor lightly tucks the patient's chin to their chest. That is it. This resets the body's compensations toward that injury and we move on to the next injury.

Dr. Jose Palomar presented a paper in Los Angeles a few years ago on proprioceptor recalibration using deep tendon reflexes. This seems to be an Injury Recall Technique that gets deeper than the IRT that Dr. Schmitt has presented. By deeper, I mean that treatment with Dr. Palomar's recalibration will sometimes erase the need for Dr. Schmitt's IRT.

Proprioception is the body's way of knowing where we are in space. The muscles and tendons send messages to the brain so we know where our body parts are and we don't run into walls or stub our toes. If there is a problem with proprioception, it can affect our balance, how we walk, our endurance, and cause pain in our joints and confusion in our head.

Similar to Dr. Schmitt's IRT, Dr. Palomar's recalibration has the patient touch the area of injury, but this time the doctor has to find the anatomy train that has become affected because of the injury. If you remember the old song about "the head bone is connected to the neck bone", that is the easiest way to understand anatomy trains. The head and the foot are connected, indirectly, by all the muscles, ligaments and tendons that are in between. There are many anatomy trains within the body. The doctor's job is to find which one(s) were affected and treat them accordingly.

To the patient, treatment for Dr. Palomar's recalibration will seem as simple as treatment for Dr. Schmitt's IRT. After the patient touches or rubs the area of injury and the doctor finds the affected anatomy train, the doctor then taps a deep tendon reflex while both ends of the train and the injury are touched or rubbed. A common deep tendon reflex is when the doctor taps the knee and the foot kicks out uncontrollably.

These two simple techniques allow me to reduce the number of times I see my patients, and the number of times I adjust the same areas. I have found that treating the previous injuries helps patients hold adjustments much longer than if these injuries were not addressed. These techniques have helped with ongoing joint pain, balance problems, poor posture, and improving athletic performance.

As simple as these treatments may seem, they have deep impacts on the body and the health of the patient.


Jonathan Herbert D.C.

Northland Applied Kinesiology
Hermantown, Minnesota.

History and Overview of P-DTR

Overview

Proprioceptive - Deep Tendon Reflex (P-DTR®) is a product of the original thought and investigations of orthopedic surgeon Dr. José Palomar.

This work recognizes that proprioception (sensation of touch, pressure, hot, cold, pain, etc.), and the way the body processes the information from these receptors, is paramount in determining neuromuscular responses throughout the entire body. Motor function is not just determined by the motor system, but rather is modified by the inputs of these receptors.

Using a comprehensive system of muscle testing and neural challenges, involved receptors can be located and normal function can be quickly restored. Most physical therapy and other therapeutic modalities deal with the “hardware” of the body, neglecting the fact that much of the pain and dysfunction we experience is often actually a problem with our “software”.

P-DTR® deals with the various sensory receptors (proprioceptors) of the body and the way they affect and modify our movement patterns. These receptors (those for pain, stretch, pressure, hot, cold, vibration, etc.) all send information to the brain for processing and the brain takes this feedback into account when making decisions regarding our movement.

If this information is incorrect, as is often the case, the brain is making its decisions based on bad information. Pain and dysfunction frequently result.

P-DTR® uses neural challenges specific to the involved receptors and muscle tests combined with proper stimulation of the deep tendon reflex to make immediate and lasting advances toward restored function.

History and Information for Practitioners

Muscles, Testing and Function by Kendall, Kendall and Wadsworth is considered a classic text describing muscle testing technique and parameters. The authors declare in the 1971 edition that muscle testing is an integral part of the physical examination. It provides information, not obtained by other procedures, that is useful in differential diagnosis, prognosis, and treatment of neuromuscular and musculoskeletal disorders. Accurate muscle testing, as described in the book, was focused on determining the site and extent of nerve lesions. The concept of muscular strain and stretch lesions is also included.

Even though the previously mentioned book is an excellent resource, we found ourselves obliged to develop novel muscle testing procedures at the time many of us are clamoring for more standardized classical testing methods. While standardized or classical testing are essential, they are also limiting and should truly only be used as a starting point in our quest to become congruent with the unique needs of the case we are treating at that moment.

The need for novel testing procedures was a result of an increase in understanding acquired as we investigated the particularities of neuromuscular dysfunction. Initially, we continued to test muscles in the classical fashion until we began to understand its inherent limitations.

The new understanding that we have come to, during the several years necessary to develop this work, has shown to us that proprioception, in all its forms, and also the way the central nervous system processes that proprioceptive information, is paramount in determining neuromuscular responses throughout the body. Motor function is not determined just by the motor system. Any form of proprioception can be the decisive modifier of motor function. Undoubtedly this reflects the complex interactions of the spinal interneuron pools and more central interactions.

Once we understood that we were only using a small part of the proprioceptive receptor fields available to us to determine our interventions we broadened our investigations to include other proprioceptive fields. Heat, cold, pressure, light touch, joint position sense, vibration, pain, and others all have their place and any one of these may be decisive in the outcome of a therapeutic intervention. We now have greatly expanded therapeutic options.

Most of the neuromuscular dysfunction we are trying to correct in consultation is not the result of some lesion or aberrant function inherent to the muscle under consideration. The real problem is that the central nervous system has come to a bad solution based on the proprioceptive information it has received. If we can find a way to demonstrate to the central nervous system the nature of its error, the central nervous system will instantly modify the neuromuscular responses. This is the beauty of P-DTR.

- Dr. Jose Palomar MD