How do you know that someone is Sympathetic Nervous System Dominant?

There are lots of signs that you are Sympathetic Nervous System (SNS) dominant: Muscle tics in the eye lids, rapid blinking of the eyes while responding to movement instructions, labored or quick breathing, chronic tension in muscles, especially those in the back/extensor side of the body, and cognitive delays in response to instructions just to name a few. A person with SNS dominance will apologize and tell you they did not understand what you wanted them to do.

 

How do you measure ‘Sympathetic Tone’?

I look for common clues that indicate problems with the fundamental coordination system such as the inability to rotate the T/L junction with reciprocal ease in both directions, cognitive confusion, orientation confusion such as not knowing the difference between right and left, looking confused or misunderstanding simple directional instructions, with 2 out of 3 reciprocal rotator functions ‘off’ or inhibited.

 

Signs that your client’s ParaSympathetic Nervous System (PNS) is coming back online:

Gurgles and squirts in the viscera; yawning; spontaneously swallowing, dropping into a sleep state instantaneously, twitching in peripheral muscles, softening of formerly tight muscles.

Why work so hard to get muscles to relax when you can just get the ANS (autonomic nervous system) to slow down? Sympathetic Dominance may be contributing to your client’s muscle tension and inhibiting corrections in stored movement patterns. Clients with Sympathetic Dominance need Brain Function Facilitation in order to shift into the ParaSympathetic.

 

From the NeuroMuscular Reprogramming Instagram.

In my intake forms I look for signs of Multi-System Breakdown.

When there is a history of trauma and visceral or cognitive effects ongoing Sympathetic Dominance may be a contributing factor. For some people the hindrance is cognitive and for others it’s structural/functional and for others it has evolved into metabolic disturbances disrupting digestion, absorption, elimination, and healing.

40 plus years ago I studied Educational Kinesiology and have incorporated what I learned into my work with clients’ structural problems…

The inclusion of approaches to shift clients toward the Parasympathetic side of the nervous system is part of Mod 1 Intro to NeuroMuscular Reprogramming.

 

How Do We Shift a Client Toward the Parasympathetic?

Actually, it’s the clients who must do the work. I introduce a few breathing practices, and the incorporation of a couple of simple techniques from Educational Kinesiology which have become very popular with Chiropractors in the last decade as they choose to expand their clientele to work with kids who have cognitive processing problems.

NeuroMuscular Reprogramming NMR® incorporates some of the basics of Brain Function Facilitation and teaches it at a level that can make a big difference to clients progress toward their goals of reduced structural pain and improved ROM.

 

Lesson 1: First Important Consideration in Corrective Bodywork

 

What is a REAL Frozen Shoulder?

Many clients have come in over the years with a diagnosis of ‘frozen shoulder’. A REAL Frozen Shoulder occurs when the joint capsule develops ‘Adhesive Capsulitis’.   Most shoulders are not really frozen but immobilized by co-contractions of external and internal rotators. 

What can be done when the shoulder is not really frozen; when palpation and passive ROM reveal that the capsule itself is not involved but movement without pain and restriction is not possible.

The Emotional Component

I have heard that frozen shoulder can follow an emotional trauma.  A former student came in to see me as a client. She had recently gone through two losses of people dear to her.  She developed frozen shoulder.  I’ve also heard that frozen shoulder will go away on its own after a couple of years. Can that process be speeded up? Yes, it can.

Any condition with an emotional component as history requires checking for Contralateral Coordination Dysfunction. Muscle testing reveals ALL shoulder muscles are weak. Brain Buttons turned on some of the muscles, but the shoulder is still dramatically dysfunctional. Many external rotation functions are inhibiting the internal rotator of the Subscapularis.**

Once internal rotators were working, we worked adhered and rigid shoulder tissues.

4 NeuroMuscular Reprogramming NMR® treatments

4 neuromuscular reprogramming treatments one month apart has almost completely removed the restriction and pain.

Now that the emotional factors have been addressed, in session 2 we were able to deal with some of the peripheral dysfunctions created by the main restrictions in the shoulder. We also began to work with the support and function of the neck muscles and how they contributed to the shoulder dysfunction.

In frozen shoulder, the muscles of shoulder depression dominate those of elevation. The client cannot lift their arm. Neither can they internally or externally rotate to a full potential ROM.  External rotators are usually inhibiting internal rotators to begin with… 

Resolving Scapular Adhesions in this case of Frozen Shoulder:

First, I addressed Scapular Adhesions, specifically…
Lt Rhomboid AND Lt Coracobrachialis inhibited Lt Teres Maj, Subscapularis

PMC inhibits Post Delt; Traps; Supraspinatus

The next layer of dysfunction:

Lt Subscap inhibits Lt Infraspinatus AND Supraspinatus (int rot’n inhibits ext rot’n) This was revealed after decompressing the shoulder with traction and tissue manipulation to reduce tissue rigidity.

More neck work resolved Lt Scalenes inhibit Rt Scalenes.
Lt OCI inhibits Rt OCI
Rt OCS inhibits Lt OCS
Lt Rec Cap inhibits Rt Rec Cap
(Yet another seeming reversal in dysfunction is now apparent as the neck compression issues of rotation and counter rotation are resolved.)

(Next session we need to connect the low back to Lt neck and shoulder.)

The Final Session: Pain on movement is gone, but details remain

Lt Sterno-Clavicular Joint is stuck (immobilized).
Infraspinatus inhibits Subclavius; Serratus Posterior Superior (SPS); Subscapularis
Ant Serratus inhibits Ant Deltoid. (Remember that Infraspinatus and long head of Tricep inhibited Lt Lat and Infraspinatus was the most fixated muscle in the superficial shoulder
area.)

The synergist of Subclavius, PMC is likewise inhibiting Subclavius; also P. Delt and Bicep.

Now we begin to see the layer of dysfunction under the layer we’ve been able to work with.
Subscapularis inhibiting Teres Major; Teres Major inhibiting Subscapularis (how can this be? An increase in the ROM in the joint reveals YET ANOTHER layer of dysfunctional synergistic muscle relationships.)

Teres Minor inhibits PMC AND Subclavius (once again we are looking at reciprocal inhibitions).

Rt Obliquus Capitis Superior (OCS) inhibits OC inferior (OCI); Lt eye tracking. Rt Eye tracking inhibits Lt OCI. Needs more work.

Did extensive tissue mobilization throughout the structure of upper chest and all through the arm muscles.   

Client is quite satisfied with her progress but still can’t ‘lift’ her hand behind her back to the range it was before.  These details will continue to progress with more work, but 4 sessions is extraordinarily fast to accomplish freedom from pain on movement.

NOTES:   *In the case of True Frozen Shoulder, the medical approach of forced manipulation under anesthesia is called for.

**(PT approaches given for frozen shoulder begin with exercising the external rotator functions of the shoulder. Since external rotation is usually dominant in frozen shoulder this would seem counter indicated.)

 

 

3 is the Key to New Learning.

The Body Learns Through Repetition.

The first level of learning is getting the message through to the muscles. This involves neurological learning. Neurological learning boosts the brain’s learning facility which is usually knocked out by stressful experience, accident or trauma. When you try something new for the first time, your coordination system doesn’t know how to do it. When you try it again immediately there may be a glimmer of ‘almost’ understanding. It is only on the 3rd try that your coordination system begins to really ‘get it’; and OWN the new movement possibility. Sometimes it takes even longer than 3 repetitions to get it, but 3 is the maximum number of ‘trys’ that should be engaged on the first time around.

Repetition Exhausts the Nervous System.

Unlike the muscles, the nervous system becomes quickly exhausted when pushed too hard to do new activities. It is important to understand and expect that anything you just tried, your body intelligence will continue to integrate even as you sleep. (This has been validated in movement physiology research). When you perform the same activity the next day you may find it much easier.

First you have to prepare the body for new learning.

This is where NMR starts.  

The 1st Important Consideration in Corrective Bodywork: https://vimeo.com/395854829:


New NMR Trainings begin January 13 – 15th 2023 in-person or Live Streaming via Zoom. 

Find them at NeuroMuscular-Reprogramming.com/events.

For more information on our upcoming trainings, you can visit our Facebook Event Page, and remember: 

3 is the Key to Learning. 

The Art of Assessment:

NMR allows you to do sequential muscle testing. Doing this, you can discover which muscles adversely affect, dominate or interfere with others. If your pelvis is torqued or anteriorly tilted on one side for instance, you can test Iliacus on the anterior tilt side to see if it’s inhibiting the external hip rotators. Often it is. Let’s say Iliacus ‘tests strong in the clear’ which means it looks like it is fully functional, but subsequently the Piriformis tests weak or inhibited (as do TFL and Peroneus).

Don’t Jump to Conclusions


Instead of getting to work to lengthen Iliacus to balance function, hold off on jumping to conclusions, and test the Pectineus to see if it’s ‘strong in the clear’ then subsequently retest the Iliacus. You may discover the Pectineus weakens or inhibits the Iliacus. It frequently does, AND, not only does it inhibit Iliacus, it makes the Piriformis even weaker. So Pectineus is the priority for work.

Pectineus Dominates Iliacus in Flexion/Internal Rot’n 

Pectineus and Iliacus in this scenario are called Reactive Muscles because the function or action of Pectineus interferes with the sequential use of the Iliacus.  Iliacus worked fine until asked to fire in sequence after Pectineus. Since these two are actually Synergists it can be inferred that Pectineus will always dominate the hip flexion/internal rotation stabilization function. The client will typically be experiencing  chronically tight adductors and weak lateral line of the leg.  This will be hidden by the internal rotation of the femur in the acetabulum. Check it out!

After each Correction – Reassess

After correcting the Pectineus begin your assessment all over again. EVERY TIME YOU CHANGE ONE THING IN THE BODY, MANY OTHER RELATIONSHIPS CHANGE AS WELL. 

What you first anticipated may be different than what’s actually going on.  You may be down to the next layer of the problem.  Re-assess constantly as you work to determine what is the next priority; don’t work off assumptions. Ask the body through muscle testing and passive ROM.

Learn more about incorporating this valuable assessment and correction tool into your tool kit to get even better results with your bodywork. Take NMR Mod 1 coming January 13th-15th, 2023! 

For more info and to enroll:  https://neuromuscular-reprogramming.com/event/mod-1-intro-nmr-protocols-hips-low-back-in-person-and-live-streaming-dallas-tx-jan-23/