Upper and Lower Crossed Syndromes: Neuromotor, Myofascial, and Fascial Patterns in Differential Diagnosis and Patient Education (1 CE Credit)

Upper and Lower Crossed Syndromes, originally described by Vladimir Janda, represent predictable neuromotor patterns that influence posture, movement strategy, and musculoskeletal loading. Contemporary clinical practice, however, suggests these patterns are expressed not only through altered motor control but also through myofascial and fascial adaptations that become palpable, symptomatic, and persistent. This one-hour online course presents an integrated framework combining Janda’s central nervous system–driven muscle imbalance model with myofascial trigger point theory (Travell and Nimmo), modern fascia research, and the Fascial Distortion Method (Typaldos), rooted in the structural principles of Ida Rolf. Participants will learn how centrally mediated movement strategies give rise to localized myofascial and fascial distortions—and how targeted manual therapy and active rehabilitation work synergistically to produce lasting change. Emphasis is placed on clinical reasoning, differential diagnosis, and patient education rather than technique instruction. Clinicians will gain practical strategies for recognizing crossed-syndrome patterns, interpreting examination findings, refining musculoskeletal differential diagnoses, and communicating these concepts to patients in a clear, non-pathologizing manner. Course Presented by Michael Neely, DC