A personalized approach
to manual therapy
Join Lisa Klein, PT, IMT.C for these unique classes on
Comprehensive Manual Therapy Techniques. All modules are approved by the Maryland Board of Physical Therapy Examiners for 0.8 CEUs and are also approved by the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB).
Body Operating System Courses
Foundations of Manual Therapy Practice Utilizing an Integrative Approach
Upcoming Course Dates:
Module 1: Low Back and Neck – Basic with a Pediatric Focus
Course is being taught live in Mechanicsburg, PA October 10, 2026
Please contact Keith Parker MOT, OTR/L, SIPT, DIR at [email protected] for more information or to register.
Module 2: Low Back and Neck – Intermaediate with a Pediatric Focus
Course is being taught live in Mechanicsburg, PA October 11, 2026.
To register for both classes together click the link below:
All modules are approved by the Maryland Board of Physical Therapy Examiners for 0.8 CEUs and by the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB).
The fee is $350 per module or $600 for a two-course weekend.
All course materials are included in the registration fee.
Module 1: Low Back and Neck - Basic
Modules 1 and 2 establish the foundation of the Body Operating System through hands-on, live instruction. This module includes Advanced Strain Counterstrain, 3-Planar Myofascial Release, foundational techniques for the four essential diaphragms, the cranio-cervical junction, SI joints, spine, pelvis, sacrum, and lumbar spine, as well as an introduction to Myofascial Mapping. By the end of the course, you'll have the confidence and practical skills to begin using the BOS approach with your clients immediately.
Module 2: Low Back and Neck - Intermediate
Module 2 expands on the core concepts introduced in Module 1 with advanced assessment and treatment techniques. You'll learn Myofascial Mapping for the transverse, coronal, and sagittal planes, along with additional fascial assessment methods such as the 5-Point Assessment, inhibition, and nullification. The course also covers identifying and treating tissue damage, including bone bruises and soft tissue microtears, addressing shock trauma affecting the circulatory system, progressing Strain Counterstrain techniques for the sacrum, and introducing Myofascial Release techniques for the cranial dura.
Module 3: Sacrum - Basic
Modules 3 and 4 focus on restoring optimal biomechanics of the pelvis and sacrum—the foundation of efficient movement and stability. Building on the concepts from Modules 1 and 2, you'll learn Muscle Energy Techniques for the pubic symphysis and iliosacral joints, Myofascial Release to address the sacral plexus, treatment approaches for pelvic compression syndromes, and Advanced Strain Counterstrain techniques to restore balance to the muscles and visceral tissues that influence the pelvic bowl and pelvic floor.
Module 4: Sacrum - Intermediate
Module 4 focuses on restoring optimal biomechanics of the sacroiliac joints through Muscle Energy Techniques. You will also learn Advanced Strain Counterstrain techniques to address spinal disc restrictions, improve ocular mobility, and reset muscle tension patterns of the cervical spine.
Module 5: Manual Therapy for Nerve Tissue
Module 5 teaches advanced Myofascial Release techniques to address fascial restrictions and reset adverse mechanical neural tension throughout the cranial, spinal, and peripheral nerve pathways.
Module 6: Manual Treatment of Upper and Lower Extremity Compression Syndromes
Module 6 introduces the concept of brainstem-mediated tissue restrictions that can contribute to persistent pain patterns. Learners will explore techniques to address these neurological locks and treat common compression syndromes affecting the upper and lower extremities.
Module 7: Manual Treatment of the Cranium, Level 1
Modules 7 and 8 provide the foundation for advanced cranial therapy. Module 7 focuses on the essential preparation techniques required before working with the cranium, including Myofascial Release treatment for the temporomandibular joint and sphenobasilar joint. Learners are then introduced to manual techniques designed to restore mobility of the cranial bones and cranial dura, concluding with Advanced Strain Counterstrain approaches to support optimal cranial blood flow.
Module 8: Manual Treatment of the Cranium, Level 2
Module 8 explores the components of the craniofacial gear complex and advanced manual techniques to restore balance and mobility throughout each structure. Learners will develop deeper Myofascial Release approaches to address restrictions within the cranial dural tissues and learn techniques to release compression syndromes affecting essential cranial structures.
Module 9: Manual Therapy for Cardiac
Module 9 introduces foundational techniques to release and restore mobility within the tissues surrounding the cardiac region. Learners will develop Myofascial Release and joint mobilization skills for the structural framework of the chest, ribcage, and shoulder girdle. Advanced Strain Counterstrain techniques are introduced to address autonomically innervated tissues and support the restoration of balance throughout the chest and ribcage. The module also covers foundational cardiac and pulmonary biomechanics, including techniques to reset key movement patterns. Learners will explore the interconnected biomechanical relationship between the cranial, cardiac, and pelvic regions and how to restore balance within these systems.
Module 10: Manual Therapy for Treatment of Tissue Specific Fascial Mobility
Module 10 introduces the concept of tissue-specific fascial mobility (cell motility) and its application in advanced assessment and treatment. Learners will develop the ability to identify and treat tissue-specific fascial restrictions within the nervous, cardiopulmonary, musculoskeletal, vascular, lymphatic, and visceral systems. This module also covers essential pre- and post-manual therapy techniques, along with clinical indications and contraindications for safely integrating tissue-specific fascial mobility approaches into practice.
Module 11: Intermediate Fascial Diagnostics
Modules 1 through 10 provide hundreds of essential treatment techniques designed to address complex orthopedic, neurological, and visceral presentations. Modules 11 and 12 build upon this foundation by focusing on advanced clinical applications, treatment planning, and intermediate-to-advanced techniques.
Module 11 explores the hierarchy of body signs and symptoms, ranging from mild orthopedic presentations to complex regional pain syndromes and neurological disorders. Learners will develop advanced treatment strategies using tissue- and case-specific blueprints, including progressive techniques for the foundational diaphragms introduced in Module 1, transverse plane fascial unwinding, and the introduction of spinal unwinding concepts. The module also teaches an adapted pelvic trauma blueprint to address complex patterns of dysfunction and support comprehensive clinical decision-making.
Module 12: Intermediate Visceral Diagnostics
Module 12 focuses primarily on advanced assessment and diagnostic techniques. Learners will review and refine the foundational assessment methods introduced in Module 2, while expanding their clinical evaluation skills through advanced manual approaches. This module introduces the manual forehead assessment technique to identify and clarify mind-body influences within the system, longitudinal pressure scanning of the body cavities, and the spinal decompression blueprint incorporating advanced spinal fascial diagnostics.
Module 13: Advanced Muscle Energy and Biomechanics
Module 13 focuses on advanced sacral and spinal biomechanics, including the assessment and treatment of ascended and descended sacral dysfunctions. Learners will explore advanced approaches for Type 3 spinal pathology (spinal shears), treatment considerations for patients with Chiari malformations and similar complex presentations, and manual techniques to address adverse mechanical dural tension affecting the brain, spinal cord, and peripheral nerves.
Module 14: Manual Therapy Protocols
Module 14 is an advanced clinical protocol and treatment course focused on complex patient presentations. Learners will explore manual therapy approaches for conditions including migraine headaches, post-concussion syndrome, Postural Orthostatic Tachycardia Syndrome (POTS), dysautonomia, systemic inflammation, fibromyalgia, spinal fusion, and laminectomy. The module introduces advanced techniques such as Myofascial Release to address restrictions involving the tentorium and optic nerves, protocols for supporting vagal function, fascial release approaches for the kidneys, Advanced Strain Counterstrain techniques for the organs and vasculature of the pelvic bowl and floor, and a foundational liver treatment blueprint.
Module 15: Strain Counterstain for the Upper and Lower Extremities
Module 15 integrates foundational extremity techniques with advanced diaphragm and autonomic nervous system approaches. Learners will develop Strain Counterstrain skills to reset the muscles of the upper and lower extremities, while exploring treatment strategies for essential compression syndromes involving the respiratory, thoracic inlet/outlet, and pelvic floor diaphragms. This module also introduces the use of autonomic nervous system (ANS) templates for assessment and treatment, including the core templates utilized within the BOS framework.
Module 16: Pediatric Cranium Assessment and Treatment
Module 16 is an advanced cranial therapy course focused on the complex biomechanics of the cranium and central nervous system. Learners will explore pediatric cranial development and its clinical relevance for treating patients of all ages. The module covers assessment and treatment of the biomechanical relationships within the layers of the brain, the eyeball, the tentorium, falx, and spinal cord. Learners will also study the assessment and treatment of the midline spinal regulatory complex and its role in supporting optimal neurological function.
Register for classes now!
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