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Digital Seminar

Treating Upper Crossed Syndrome: Preventing Shoulder, Back, and Neck Disorders through Better Posture

Michelle Burns, BSRN, BSAlt Med., LMT, MTI, CEP, BCMT
6 Hours 14 Minutes
Audio and Video
Aug 30, 2017
Product Code:
Media Type:
Digital Seminar - Also available: Digital Seminar | DVD


The human body is designed to be an active body, not to sit for hours a day. Focusing our bodies to lock into a set position for long periods of time can result in some muscles becoming very tight and some becoming very weak. Having our head protrude forward is just such a situation and it can significantly impact a person's ability to function easily, without pain, and can contribute to a number of debilitating conditions including headache, respiratory problems, and shoulder injuries.

This recording gives you the tools to relieve the postural distortion and regain pain–free, unrestricted and fluid movement. Participants will learn about specific muscle imbalances and how they lead to faulty movement patterns and dysfunctions. At the end of this course, you will have the tools to help you and your clients achieve pain relief, more mobility, and a healthy, supportive posture.


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing the on-line post-test (80% passing score) and completing the evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please statement above.  For speaker disclosures, please see the faculty biography.

Occupational Therapists - Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 6.2 self-study continuing education credits.

CE Broker

Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.0 continuing competency hours.

Physical Therapists - Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 6.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.4 contact hours.

Other Professions

This self-study activity qualifies for 6.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Michelle Burns, BSRN, BSAlt Med., LMT, MTI, CEP, BCMT Related seminars and products

Michelle Burns, BSRN, BSAlt Med., LMT, MTI, CEP, BCMT is a Licensed Massage Therapist and Massage Therapy Instructor with over 20 years of experience in massage as well as more than 20 years of experience as a Registered Nurse in surgical and intensive care. She is the founder and director of Advanced Holistic Healing Arts, a medical and clinical massage business that offers advanced training and continuing education for therapists. Ms. Burns believes in the benefits of both traditional medicine and complementary therapies, and works to incorporate both the science and art of techniques in her practice and classes.

While managing the intensive care unit, she implemented the use of massage to decrease the need for pain medication as well as maintain muscle strength and suppleness during long periods of patient immobilization Ms. Burns is an instructor of business and ethical practices, pathology, and specialty massage techniques at A New Beginning School of Massage in Austin, Texas and maintains professional practice when not traveling.

Speaker Disclosures:

Financial: Michelle Burns is the owner of Advance Holistic Healing Arts. She is a faculty member at A New Beginning School of Massage. Ms. Burns receives a speaking honorarium from PESI, Inc.

Non-financial: Michelle Burns is a member of the Texas Coalition of Massage Schools and Instructors.

Additional Info

Access for Self-Study (Non-Interactive) Access never expires for this product.


  1. Identify the key movement patterns involved in Upper Crossed Syndrome and their effects on key structures
  2. Review common complaints and distinguish conditions linked to Upper Crossed Syndrome
  3. Demonstrate the protocol for addressing issues presented with Upper Crossed Syndrome
  4. Discover effective strategies for addressing musculature issues involved with the syndrome
  5. Demonstrate effective techniques to restore muscle balance, healthy movement, and posture
  6. Practice stretches and simple strengthening movements to address symptoms



  • Description of positions and condition
  • Causes
  • Target Population
  • History


  • Muscle Imbalances
    • Weakened muscles
    • Shortened muscles
    • Physiology of Postural or Tonic muscles
    • Physiology of Phasic or Type 2 muscles
  • Joints
  • Nerves


  • Shoulder pain
  • Upper back & neck pain
  • Decreased range of motion
  • TMJ pain
  • Headaches
  • Respiratory issues


  • Rotator Cuff Injury and shoulder pain
    • Trigger Point referral pain
    • Decentration of humeral head
      • Infraspinatus
      • Pectoralis major
    • Muscle release
    • Stretches
  • Thoracic Outlet Syndrome
    • Acromioclavicular impingement
    • Trigger point referral pain
      • Infraspinatus
      • Pectoralis minor
    • Muscle release
    • Strengthening movements
    • Stretches
  • “Sinus” headaches
    • Occipital nerve impingement
    • Trigger point referral pain
      • Trapezius
      • Suboccipitals
      • Levator scapula
    • Muscle release
    • Stretches
  • Difficulty swallowing and sore throat
    • Deep cervical flexors
    • Trigger point referral pain
    • Strengthening movements
  • Dowager’s hump
    • Compressive forces at transition zones
    • Strengthening movements


  • Sherrington’s Law
  • Hilton’s Law
  • Locked short muscles
  • Locked Long muscles
    • Supine
    • Prone 
      • Infraspinatus
      • Low Trapezius



Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Massage Therapists
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Athletic Trainers
  • Fitness and Personal Trainers


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