The Thorax in Gait
St. George: November 12 - 13, 2021

PDF Class Notebook
16 CEUs
$500 In-Person / $375 via Zoom

Course Description:

Neural and biomechanical integration of the thoracic cage in posture and gait requires detailed knowledge of the anatomy, physiology, neurology, embryology and dynamic force relationships of these various structures. This course provides the participant with an extensive knowledge of these areas as well as the intricacies of dysfunction of the ribs and sterno-manubrium as they relate to breathing and trunk control and how they dysfunction.

The thoracic spine, ribs, sternum, manubrium, clavicle, and diaphragm will be covered as well as the various cartilages, ligaments, muscles, fascia, vascular and neural components from embryological, vertebral, biomechanical and arthrokinematic standpoint. Assessment and treatment will include Muscle Energy Techniques, Joint Mobilization, Travell concepts, and Myofascial Techniques employed and demonstrated in laboratory session.

Pain is the top reason patients seek treatment. Most pain is not due to acute trauma which poses a problem for the current medical system approach. To successfully treat non-acute onset of pain can be difficult. A deeper understanding of the neurological and biomechanical interaction of the thoracic cage must be used to understand the functional and dysfunctional interaction of these areas.

This class will provide the practitioner the ability to mechanically assess / observe the patient's movement competence through clinical tests and develop an appropriate manual treatment regimen to optimize and improve that patient's relevant lack of range of motion and aberrant motor programming to return to full function.

Additional Details:

Westside Dance Studio
170 North 400 East
St. George, UT 84770

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

1) Palpate the discrete structures of the thoracic cage;

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 Technique, Counterstrain-positional release, Neurolymphatic and Neurovascular Techniques, and NeuroDynamic Reintegration© (NDR©).

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

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.

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

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

16 contact hours – 16 1-A hours anticipated  

Instructors: Neal O'Neal, PT

Class is held 9-6 Friday and Saturday.

Fees: $500/student for in-person attendance, $375 for Zoom attendance, Associates of Autumn Mayberry may utilize a discount code found on her website. Course limited to 24 students.

Cancellation Policy:
Registration fee less a $75 administrative charge is refundable if cancellation received 14 days prior to program date. No refunds will be given after that time. ANS Balance HRV and Pursuit PT reserve the right to cancel a seminar and will refund in full the registration fee only. Neither ANS Balance HRV nor Pursuit PT is NOT responsible for registrant’s non-refundable airfare, accommodations or fees.

 Enroll in This Class!

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**Upon completing your enrollment, you'll be taken to the members area page where you can create an account if you're a first time student. Returning students do not need to create a new account.

This live class will be recorded, and after editing is complete, the videos and corresponding study materials for this course will be available in the members area.

If you have any difficulty accessing your purchase, please contact us at: and we will be happy to help!

Questions about the course should be directed to Neal O'Neal, PT at
Nondiscrimination Policy Statement:

ANS Balance is committed to maintaining an environment that recognizes and values the inherent worth and dignity of every person; fosters tolerance, sensitivity, understanding, and mutual respect among its members; and encourages each individual to strive to reach his or her own potential.

ANS Balance views, evaluates, and treats all persons in any ANS Balance related activity or circumstance in which they may be involved, solely as individuals on the basis of their own personal abilities, qualifications, and other relevant characteristics.

ANS Balance prohibits discrimination against any participant, instructor or co-sponsor on the basis of race, religion, color, sex, age, national origin or ancestry, genetic information, marital status, parental status, sexual orientation, gender identity and expression, disability, or status as a veteran. ANS Balance will conduct its programs, services and activities consistent with applicable federal, state and local laws, regulations and orders and in conformance with the procedures and limitations as set forth by Federal Laws governing Equal Opportunity, Equal Access, and Affirmative Action policy.
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