RNR Massage Therapy

RNR™ or Reconnecting Neuromuscular Responses™ A Body Balancing Technique RNR™ 60-Hour Complete Full Body Course #: 20-451499

Course #1: ❏ Course #2: ❏ Course #3: ❏

Advanced Course #4: ❏ Partial Course: ❏ # of Hrs: ___

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RNRTM

Recognized by: ♦ State of Florida Department of Health, Division of Medical Quality Assurance [FL CE Broker] Provider #50-1184

♦ National Certification Board for Therapeutic Massage & Bodywork [NCBTMB] Provider #024315-00 ♦ RNR™ or Reconnecting Neuromuscular ResponsesTM is approved by the Board of Certification, Inc. to offer continuing education for Certified Athleticrainers. T [Provider #PXXXX]

Created and Developed by:

Laurel J.Florida Freeman, License #MA7670/MM3449 B.A., LMT

2622 NW 43rd Street Suite C1 ♦ Gainesville ♦ FL 32606 ♦ email: [email protected] ♦ 352.371.9689 ♦ 352.538.3400 www.RNRMassageTherapy.com

NAME: DATE COURSE TAKEN: RNR™ or Reconnecting Neuromuscular Responses™ Reconnecting Neuromuscular Responses™ or RNR™ DEFINITION RNR™ is a neuromuscular massage technique that of one group of muscles around another to immobilize supports the relationship between the nerves and the them. Splinting is a wonderful mechanism; however muscles through the golgi tendon organs. Golgi tendon when this signal does not ‘turn off’, the healing process organs are nerve endings located in soft tissue fibers may be hindered. RNR™ helps the body remember to throughout the body. When a person experiences pain, ‘turn off’ this signal, so healing may be facilitated at a the pain signal may cause splinting, which is contraction faster rate.

ADDITIONAL INFORMATION GOLGI APPARATUS - A lemellar membranous structure receptor found in tendons and/or aponeuroses, an end- near the nucleus of almost all cells. It contains curved organ of muscle sense. parallel series of flattened saccules that are often GOLGI ORGAN - A spindle shaped structure at the expanded at their ends. The structure is best seen by junction of a muscle and tendon, junctions are receptors electronmicroscopy. In secretory cells the apparatus for proprioceptive sense. functions to concentrate and package the secretory PROPRIOCEPTIVE SENSE - The correlation of product. Its function in other important cells is poorly unconscious sensations from the skin and joints that understood. allows conscious appreciation of the position of the GOLGI CELLS - Multipolar nerve cells in the cerebral body. cortex and posterior horns of the spinal cord are PROPRIOCEPTION - The awareness of posture, Type I which possesses long axons and Type II which movement and changes in equilibrium and the possesses short axons. knowledge of position, weight and resistance of objects GOLGI CORPUSCLES - A sensory nerve ending or in relationship to the body.

KEY TO ARROWS Legend is provided within the RNR™ Course Manual

Contact Information: Laurel J. Freeman, B.A., LMT MA/7670/MM3449 Cell: 352.538.3400 [email protected] RNRMassageTherapy.com

How Golgi Tendons Work In Leon Chaitow's book, Soft-Tissue complex...detects, evaluates, reports and be contradictory, to actually conflict with Manipulation, Healing Arts Press, adjusts the length of the muscle in which it other information being received, what Rochester, Vermont 1988, there were lies, setting its tone. Acting with the Golgi then:...'for the excessive force exerted several important points regarding Golgi tendon body, most of the information as by external trauma to induce such tendon organs and the soft tissue. Some to muscle tone and movement is reported. hyperactivity of the joint and muscle paraphrasing follows: The spindles lie parallel to the muscle receptors that the reports from that area "...To understand the problems affecting fibres, and are attached to either skeletal become gibberish.' Should conflicting any particular joint or soft-tissue area muscle, or the tendinous portion of the reports reach the cord from a variety of it is necessary to have an awareness muscle...the spindle...two types. One sources simultaneously, no discernable of the various reporting organs which is...the annulospiral receptor (or primary pattern maybe recognized by the CNS. lie with them. There is a constant ending) and on each side...lies a 'flower In such a case no adequate response feedback of information from all spray receptor' (secondary ending). The would be forthcoming. ..and it is probable tissues as...tone, tension, movement primary ending...response to even small that activity would be stopped. Spasm or etc...sensory information is added changes in muscle length. The secondary splinting would therefore result...in many to the changes in blood chemistry, ending...when larger changes in muscle cases,...for the 'resetting' of the reporting to which the sympathetic nervous length have occurred...there are fine, intra- stations, which allows them to again system is sensitive. Depending upon fusal, fibres which alter the sensitivity of the 'march in step, one with the other', and the environmental demands, and the spindle. These can be altered without any to provide usable information. requirements dictated by the conscious actual change taking place in the length NMT, MET [muscle energy technique] and and unconscious mind, the tissues of the muscle itself, via an independent Strain-counterstrain are the tools which will be 'tuned' accordingly. 'What is gamma efferent supply to the intrafusal we may employ in attempting to assess happening in the peripheral machinery fibres. This has implications in a variety of the nature of soft-tissue dysfunction, and with respect to three questions? What is acute and chronic problems...with the CNS to normalize this....a variety of insults the present position? If there is motion, thus: The central connections of the spindle which may result in increased neural where is it taking us? And third, how receptors are important...The activities of excitability; the triggering of a barrage of fast is it taking us there?' A variety the spindle appear to provide information supernumary impulses, to and from the of inputs...give the answer to these as to length, velocity of contraction and cord...terms 'cross-talk', in which axons important questions,...body can provide changes in velocity. may overload and pass impulses to one an appropriate response. another directly; muscle contraction ...structures involved..: Ruffini End- Golgi Tendon Receptors: These structures disturbances, vasomotion, pain impulses, Organs: ...found within the joint indicate how hard the muscle is working reflex mechanisms, disturbances in capsule, around the joint, so that since they reflect the tension of the muscle, sympathetic activity, all may result from each is responsible for an angle rather than its length, as does the spindle. such activity, due to what might be of approximately 15 degrees, with If the tendon organ detects excessive relatively slight tissue changes in the that of the adjacent end-organ...are overload it may cause cessation of function intervertebral foramena,...the concept that progressively recruited as the joint of the muscle, to prevent damage. This when any tissue is disturbed, whether, moves,...movement is smooth and not produces relaxation....'the nature of the bone, joint, ligament or muscle the local jerky...prime concern of Ruffini end- information which these and other reporting stresses feed constant information to the organs is a steady position...some stations are providing to the CNS. These cord and effectively jam normal patterned extent concerned with the direction of represent the complex, harmonious, transmission from the periphery. movement. delicately balanced orchestration of These factors combined with any Golgi End-organs: ...They are found in the contraction and relaxation of many mechanical alteration in the tissues, the ligaments associated with the joint... muscles.' The pattern of information fed are the background to much somatic respond to muscular contraction which back to the CNS and brain...the steady dysfunction....Our task in assessing and alters tension in the joint capsule, Golgi state of joints, the direction and speed dealing with this complex of somatic end-organs...can deliver information of alteration in position of joints, together dysfunction is aided by the diagnostic independently of the state of muscular with data on the length of muscle fibres, and therapeutic ability of neuro-muscular contraction. This helps the body know the degree of load that is being borne, as technique, as well as by the more just where the joint is at any given well as the tension this involves. recent development of muscle energy moment, irrespective of muscular This total input is what occurs, rather than techniques...." activity. the individual pieces of information, as The Pacinian Corpuscle: ...found in outlined above, from particular reporting peri-articular connective tissue,...aware stations. Should any of the information of the rate of acceleration of movement taking place in the area...There are other A special thanks for permission to use end-organs, but these three...provide... Soft Tissue Manipulation by Leon Chaitow, N.D., present position, direction and rate of D.O., published by Healing Arts Press, an imprint of movement of any joint. Inner Traditions International, Muscle Spindle: ...is sensitive and One Park St., Rochester, VT 05767 Copyright© 1980, 1987, 1988 by Leon Chaitow pages 25 - 28 including the illustration.

Alpha Efferent.

from CNS from

to Muscle to

Information

Conveys

conscious activity. conscious

Also relates to to relates Also

primary receptor. receptor. primary

overreaction at at overreaction

Compensates for Compensates Flower Spray Fibre Spray Flower Reporting Station

Muscle Spindle contraction produces Action of Gamma Efferents which increase of intrafusal muscle fibres in (extrafusal) muscle discharge rate and results lie to twelve intrafusal fibres Ten contraction. This is sensory organ parallel to muscles fibres. to lengthening and shortening. responding

discharge.

sometimes excessive excessive sometimes

connection: rapid, rapid, connection:

length: monosynoptic monosynoptic length:

Detect small changes in in changes small Detect Annulospiral Fibres Annulospiral Reporting Station Gamma Efferent Supplies muscle components at periphery of spindle Conveys Information to CNS Muscle from Reporting Station Golgi Tendon Body Golgi Tendon Detects load/overload (fail safe/ in stretch cut out). Measures than parallel, series rather tension. reflects therefore Illustration of Muscle spindle, Golgi tendon organ, and nerve supply to and from these reporting stations.

CREDIT LINE: Soft-Tissue Manipulation by Leon Chaitow, N.D., D.O., published by Healing Arts Press, an imprint of Inner Traditions International, One Park St, Rochester, VT 05767. Copyright 1980, 1987, 1988 by Leon Chaitow.

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