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Course Information

Course Information

Assessment & Treatment of Muscle Imbalance : The Janda Approach

Level 1 : Muscle Imbalance Syndromes

Course Description

Muscle imbalance syndromes are often the cause of many common musculoskeletal conditions such as shoulder impingement, back pain and neck pain. This course introduces the teachings of the late Professor Vladimir Janda MD, a pioneer in muscle imbalances and chronic musculoskeletal pain. He identified specific clinical “crossed syndromes” of neuromuscular imbalance, focusing more on global function than isolated structures. This hands-on workshop will describe the scientific basis for Janda’s approach, as well as a systematic evaluation and treatment of his famous “Crossed Syndromes.” 

Course Objectives

  1. Understand  the role of the sensorimotor system, chain reactions, and muscle balance in chronic pain syndromes
  2. Perform a functional assessment for chronic pain, including posture, gait, and movement patterns
  3. Learn specific intervention techniques for upper and lower crossed muscle imbalance syndromes including muscle facilitation and inhibition techniques

All participants should wear loose athletic clothing with exposure to skin.

Course Outline (14 hours)

Day 1 : The Janda Approach to Muscle Imbalance : 8 hours 

  1. Neuromuscular Basis of Muscle Imbalance (3 hours/lab)
    1. Rehab Paradigms: Structure vs. Function
    2. The role of the Sensorimotor system in function & dysfunction
    3. Influence of Neuromuscular Chains
    4. Janda’s Muscle Imbalance Syndromes
  2. Assessment of Muscle Imbalance Syndromes (5 hours lecture/lab)
    1. Postural Analysis: The clues to imbalance
    2. Balance & Gait: Integrating the lower chain
    3. Janda’s 6 Movement Patterns
    4. Muscle length assessments
    5. Trigger / Tender point assessment
    6. Breathing assessment

Day 2: Treatment of Muscle Imbalance Syndromes : 6 hours 

  1. Functional Treatment Progression (1 hour lecture)
  2. Treatment Techniques (4 hour lecture / lab)
    1. Peripheral Normalization
    2. Muscle Re-balancing Techniques
    3. Sensorimotor Training
    4. Functional Training

     3. Management of Upper & Lower Crossed Syndromes (1 hour lecture) 


 Day 1 

8AM-930               Neuromuscular Basis of Muscle Imbalance 

930-945                 Break 

945-1130               Neuromuscular Basis of Muscle Imbalance, cont 

1130-1215              Lunch Break 

1215-300               Assessment of Muscle Imbalance 

300-315                  Break 

315-515                   Assessment of Muscle Imbalance, cont. 


8AM-9AM             Functional Treatment Progression 

900-1015              Treatment Techniques 

1015-1030             Break 

1030-1200            Treatment Techniques, cont. 

1200-1245            Lunch Break (45 min) 

1245-200              Treatment Techniques, cont. 

200-300                Management of Upper & Lower Crossed Syndrome 

Supporting Bibliography

Page P, Frank C, Lardner R. Assessment and Treatment of Muscle Imbalance. The Janda Approach. Human Kinetics: Champaign IL. 2010

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