Proprioceptive-Deep Tendon Reflex®

Not all pain experienced in the musculoskeletal system originates from muscles, joints or ligaments. Pain may be referred from other structures, while nervous system function also depends on information received from internal organs, vascular receptors and other systems of the body.

How can these relationships be considered during assessment? And how can you expand your existing P-DTR procedures to address additional aspects of nervous system function?

P-DTR Advanced is the final stage of the core training pathway in the method developed by Dr José Palomar Lever. The programme builds on the Basic and Intermediate levels, focusing on more complex sensory, neurological and physiological relationships described within the P-DTR system.

One of the main areas covered is viscerosomatic relationships and the mechanisms of referred pain. You will explore the physiological foundations of reflexes associated with internal organs, as well as proprietary P-DTR procedures used to analyse muscle reactivity in the context of visceral stimuli and selected fascial structures.

Another important topic is the neurology of the tongue, the function of taste receptors and the functional relationships between the tongue, hyoid bone and nervous system. You will learn to apply additional assessment procedures and interpret observed responses according to the principles of the method.

The programme also covers autonomic regulation, baroreceptor function and relationships between sensory stimuli and nervous system responses. You will develop your ability to analyse more complex response patterns and consider them when planning subsequent stages of treatment.

Selected metabolic processes also form an important part of the course, including the Krebs cycle, fatty acid metabolism and mechanisms involved in cellular energy production. You will explore their physiological foundations and how these topics have been incorporated into the proprietary P-DTR system.

The course further expands the range of procedures to include selected neurological topics, such as the function of central nervous system structures and responses associated with peripheral nerves.

During practical sessions, you will learn to apply additional P-DTR procedures, analyse assessment findings and integrate new skills with muscle reactivity assessment and techniques acquired at previous levels.

The course consists of one six-day module combining lectures, demonstrations and practical exercises. Particular emphasis is placed on assessment precision, understanding relationships between observed responses and selecting appropriate therapeutic procedures.

The aim of the Advanced level is to expand your ability to use the P-DTR system across additional areas of physiology and neurophysiology, while developing the skills needed to analyse more complex clinical situations, with an understanding of the method's limitations and the importance of standard medical diagnostic procedures.