Objectives, services, and techniques by Certification

---

Kaihlil Nigro, LMT, ACT, TPT, IASTM, FMTA, MHRT/C

Mental Health Rehabilitation Technician/Community Certification (MHRT/C) 2014

30 college courses from UMA from the Mental Health and Human Services degree program

 With administrative support from the Muskie School, OBH has oversight of training, continuing education, and Certification for frontline mental health workers. There are three types of certification: Community (MHRT/C), Residential (MHRT/I), and Crisis Service Provider (MHRT/CSP). 

 Mental Health Rehabilitation Technician/Community certification (MHRT/C) professionals work with adults living with serious mental illness in a variety of settings including:

• Community Integration
• Behavioral Health Home (BHH)
• Mental Health Psychosocial Clubhouse
• Assertive Community Treatment
• Skills Development
• Day Support Services
• Family Psycho-Education (as outlined in Chapter II, section 17 and 65 of the MaineCare Benefits manual)

Kaihlil Nigro, LMT, ACT, TPT, IASTM, FMTA, MHRT/C

ADVANCES IN TREATING SPINAL INSTABILITY: The Kinetic Chain Impact (6 CEU Hour) LIVE Certification 2015

Myofascial connections and their role in stabilization and function

LAB #1 — MYOFASCIAL MOBILIZATIONS

BACK PAIN: Finding the source and cause of pain

· Structural vs. functional pathology

· Effects of sustained postures and forces

· Effects of chronic pain and dysfunction on movement

Recognizing Instability

· Ambiguity of term spinal instability

· Disconnect between medical diagnosis and clinical signs and symptoms

· Historical perspective of spinal instability

· Muscle dysfunction and lumbar spinal instability

· Functional vs. pathological muscle imbalances

· Rehab goal for muscle imbalances

KINETIC CHAIN REHAB FOR FUNCTIONAL MOVEMENT

· Kinetic chain rehab principles

· Functional coupling between muscles and fascia

· Components for optimal functional movement

· Myofascial slings and common dysfunctions

· Biomechanical link between lower kinetic chain and spinal instability

IS SPINAL INSTABILITY JUST ABOUT STIFFNESS?

· Static vs. dynamic spinal instability

· Synergist, agonist, and antagonist effects of muscles and force vectors

WHERE ARE WE NOW?

· Motor control vs. general exercise

· Clinical prediction rules for back pain

· Influence of posture and body type

· Muscle sling dysfunctions – “Gluteal Amnesia,” Quadratus Lumborum Syndrome, etc.

· Importance of dynamic functional movement analysis

LAB #2 – POSTURE, ROM, & MUSCLE LENGTH

SPINAL INSTABILITY: CLINICAL PRESENTATION & OBSERVATIONS

· Patient case studies

· Finding myofascial imbalances and compensatory patterns

· Best clinical tests for spinal instability

· Clinical “pearls” for determining weak quadrant

LAB #3 — DYNAMIC FUNCTIONAL MOVEMENT OBSERVATIONS & CLINICAL ANALYSIS

CORRECTIVE EXERCISE PROGRESSIONS FOR SPINAL INSTABILITY

· Motor control of local stabilizers

· Adding tri-planar stabilization

· Turning on the gluteal muscles

· Progression of Spinal Stabilization Exercises

o EMG evidence-guided progressions

o Adding equipment and unlevel surfaces

o 5 functional tasks to ALWAYS include

LAB #4 — PRACTICE CORRECTIVE EXERCISE PROGRESSIONS LIVE CASE STUDY

· Identify and develop a treatment plan

· Myofascial sling dysfunction and spinal instability

Kaihlil Nigro, LMT, ACT, TPT, IASTM, FMTA, MHRT/C

SMART Tools 2-day LIVE Instrument Assisted Soft Tissue Mobilization (6 CEU Hour) LIVE Certification 2016

IASTM certification refers to becoming certified in Instrument-Assisted Soft Tissue Mobilization, a manual therapy technique using tools to improve soft tissue mobility and reduce pain. IASTM certification programs typically involve hands-on training and education in using IASTM tools for various soft tissue conditions, including muscle dysfunction, pain, and scar tissue. 

Benefits of IASTM Certification: 

· Expanded skillset:

Certification equips therapists with the skills to incorporate IASTM techniques into their practice, enhancing their ability to treat a wider range of conditions.

· Improved patient outcomes:

IASTM can be effective in addressing myofascial restrictions, improving tissue mobility, and reducing pain, leading to better patient outcomes.

· Enhanced clinical reasoning:

IASTM certification often involves learning about the anatomy, physiology, and neurological aspects of soft tissues, enabling therapists to make informed treatment decisions.

· Professional development:

Certification can demonstrate a commitment to professional growth and enhance career opportunities for healthcare professionals.

Types of IASTM Certification: 

· Fundamentals:

Introductory courses focus on the basic principles and techniques of IASTM, including instrument selection and application. 

· Advanced:

More in-depth courses cover advanced techniques, including treatment of specific conditions and integrating IASTM with other therapies. 

Kaihlil Nigro, LMT, ACT, TPT, IASTM, FMTA, MHRT/C

AMN Neuro-Skeletal 2-day LIVE Certification 2016

MODULE 1

Posture & Vestibular Somatic Integration

"Posture is a dynamic process largely controlled below conscious awareness. Maintaining good posture is easy while we’re stationary and thinking about it…But what happens when you start to try and move, or your attention is focused on something else? Improving someone’s ability to hold themselves upright needs to be approached by addressing the reflexes that keep our extensors ‘switched on.

We’ll teach you how to assess the spine, in a quick and easy way and then how to fire the specific reflexes needed to establish good posture. ~AMN

MODULE 2

Coordination

"Contrary to popular belief, being uncoordinated isn’t a fixed trait. By stimulating certain visual-stream pathways with light stimulus and then providing a person with movements designed to challenge their coordination, we’re able to help people unlock their potential to move in a more coordinated manner.

This has huge implications in reducing the risk of injury and in somebody’s enjoyment of the experience of training and movement.

Having already familiarized yourself with muscle testing, light touch and the use of bioelectricity, we introduce the use of functional neurological stimulation, in the form of movement and specific drills." ~AMN

MODULE 3

Cerebellum: Rate, Rhythm, Force & Accuracy

"Having already familiarized yourself with muscle testing, light touch and the use of bioelectricity, we introduce the use of functional neurological stimulation, in the form of movement and specific drills.

Through precise movement based assessment, you’ll learn how to determine which areas of the Cerebellum have faulty output and we’ll equip you with the tools you need to provide the appropriate input.

Mastery of this section will allow you to improve things like muscle recruitment, muscular imbalance, the accuracy of movement, balance in general and much more.

You’ll also learn how to use the eyes, inner ear and integrated reflexes to rapidly influence the motor system. ~AMN

Kaihlil Nigro, LMT, ACT, TPT, IASTM, FMTA, MHRT/C

International Contemporary Cupping LIVE 2-day (24 CEU Hour) Certification  2016

International Contemporary Advanced Cupping LIVE 2-day (24 CEU Hour) Certification  2017

The International Cupping Therapy Association (ICTA) offers a Contemporary Cupping Methods (CCM) certification program, designed to equip healthcare practitioners with a comprehensive understanding and practical skills in modern cupping therapy. This program focuses on both traditional and modern cupping techniques, including various applications and multi-cup techniques. The course also emphasizes hands-on experience, with participants providing and receiving 24 treatments under the supervision of instructors. 

Key aspects of the ICTA Contemporary Cupping Methods program:

· Comprehensive Curriculum:

The program covers a wide range of cupping techniques, applications, and considerations.

· Hands-on Experience:

A significant portion of the course is dedicated to practical application, with participants gaining experience in providing and receiving treatments.

· Supervised Learning:

All practical sessions are conducted under the guidance of experienced instructors.

· Practical Skills:

The program aims to equip participants with the skills to incorporate cupping therapy into their practices effectively.

Kaihlil Nigro, LMT, ACT, TPT, IASTM, FMTA, MHRT/C

ROCKTAPE Advanced Kinetic Taping and Functional Movement Provider

Functional Movement Techniques Series: FMT BASIC (6 CEU Hour) LIVE Certification 2016

Functional Movement Techniques Series: FMT ADVANCED (6 CEU Hour) LIVE Certification 2017

The FMT Advanced Certification, offered by FMTPlus, is a course designed to enhance the skills of health and fitness professionals in movement assessment, analysis, and corrective strategies. It builds upon the foundational principles of Functional Movement Training (FMT) and focuses on identifying and addressing subconscious movement dysfunction.

Key aspects of the FMT Advanced Certification:

· Target Audience:

Health and fitness professionals with prior experience in movement screening. 

· Focus:

Advanced techniques in movement assessment, including screens and assessments for subconscious movement.

· Content:

Evidence-based framework for assessing and intervening in subconscious movement dysfunction, covering topics like cognitive awareness, neurological control, and midline stability.

· Learning Methods:

Lab experiences with practical application of assessment, practice, and corrective techniques. 

· Instructors:

Led by industry experts in movement assessment, performance, and rehabilitation. 

· Certification:

Upon successful completion, participants receive an FMT Movement Specialist Advanced certification. 

Specific areas of focus within the Advanced Certification:

• Screening and      Assessment: Learning multiple screens and      assessments for subconscious movement.
• Corrective      Strategies: Utilizing evidence-based      corrective exercise programs to influence subconscious movements like      breathing and gait.
• Functional      Movement: Addressing movement      dysfunction within a functional movement context.
• Clinical      Reasoning: Developing the ability to      apply knowledge of movement dysfunction to clinical situations.
• Lab Practice: Hands-on      experience with assessment and corrective techniques. 

Kaihlil Nigro, LMT, ACT, TPT, IASTM, FMTA, MHRT/C

VAGUS NERVE Training (11 CEU Hours) Certificate 2024

Learning Objectives

1. Understand the anatomy and physiology of the vagus nerve, including its origin, pathway, and functions within the autonomic nervous system.

2. Recognize the role of the vagus nerve in regulating various bodily functions, such as heart rate, digestion, respiration, and inflammation.

3. Explore the relationship between vagus nerve dysfunction and various health conditions, including gastrointestinal disorders, cardiovascular issues, and mental health disorders.

4. Identify common signs and symptoms of vagus nerve dysfunction, such as digestive issues, irregular heart rate, anxiety, and depression.

5. Learn about the potential causes of vagus nerve dysfunction, including trauma, chronic stress, and underlying medical conditions.

6. Explore evidence-based strategies for stimulating and toning the vagus nerve, including deep breathing exercises, meditation, yoga, and lifestyle modifications.

7. Gain practical skills in applying manual therapy techniques to stimulate the vagus nerve, including gentle massage, myofascial release, and craniosacral therapy.

8. Understand the safety considerations and contraindications associated with manual therapy techniques for the vagus nerve, particularly in individuals with pre-existing medical conditions or injuries.

9. Learn how to integrate manual therapy techniques into a comprehensive treatment plan for individuals with vagus nerve dysfunction, considering their unique needs and goals.

10. Develop proficiency in assessing and monitoring the effectiveness of manual therapy interventions for vagus nerve stimulation, including tracking changes in symptoms, heart rate variability, and overall well-being.

By achieving these learning objectives, participants will gain a thorough understanding of the vagus nerve and its role in health and wellness, as well as practical skills in applying manual therapy techniques to promote vagal tone and improve overall physiological function.

Kaihlil Nigro, LMT, ACT, TPT, IASTM, FMTA, MHRT/C

Understanding and Evaluating Posture for Therapists  (7 CEU Hours) Certificate 2024

Kaihlil Nigro, LMT, ACT, TPT, IASTM, FMTA, MHRT/C

Prenatal and Post Pregnancy Massage (11 CEU Hours) Certificate 2024

Learning Objectives

1. Understand the Anatomy and Physiology of Pregnancy: Gain a comprehensive understanding of the physiological changes that occur during pregnancy and their implications for massage therapy.

2. Recognize the Benefits and Contraindications: Differentiate between the therapeutic benefits of pregnancy massage and the contraindications or precautions to be aware of.

3. Master Positioning Techniques: Learn and apply safe and comfortable positioning for pregnant clients during each trimester, ensuring the well-being of both mother and fetus.

4. Apply Specialized Massage Techniques: Acquire hands-on skills to perform pregnancy massage techniques that address the unique needs and challenges faced by expectant mothers.

5. Address Common Pregnancy Ailments: Understand how to alleviate common pregnancy-related discomforts, such as back pain, swollen limbs, and sciatica, through targeted massage interventions.

6. Ensure Client Safety: Recognize potential risks and complications associated with pregnancy and adapt massage techniques accordingly to ensure the safety of the mother and fetus.

7. Integrate Multi-modal Approaches: Incorporate complementary techniques, such as stretching and relaxation exercises, to enhance the benefits of pregnancy massage.

8. Promote Maternal Well-being: Understand the emotional and psychological changes during pregnancy and tailor massage sessions to promote relaxation, reduce anxiety, and enhance maternal well-being.

9. Adapt Techniques for Postpartum Recovery: Learn how to modify massage techniques to support postpartum recovery, addressing both physical and emotional healing.

10. Communicate and Collaborate Effectively: Develop effective communication skills to understand the unique needs and concerns of pregnant clients and collaborate with other healthcare professionals when needed.

11. Maintain Ethical and Professional Standards: Adhere to professional guidelines and ethical considerations specifically related to pregnancy massage, ensuring a respectful and supportive environment for clients.

12. Stay Updated with Current Research: Integrate the latest evidence-based findings related to pregnancy massage into practice to ensure the best outcomes for both mother and baby.

Upon course completion, participants should be equipped with the knowledge and skills to confidently and safely offer massage therapy to pregnant clients, ensuring a holistic approach to support the physical and emotional needs of expectant mothers.

Kaihlil Nigro, LMT, ACT, TPT, IASTM, FMTA, MHRT/C

Trigger Point Therapy (19 CEU Hours) Diploma 2024

Learning Objectives

1. Fundamental Understanding: Grasp the foundational knowledge of what trigger points are, including their physiological and clinical significance.

2. Evidence-Based Approach: Familiarize with the latest research and evidence supporting the relevance and efficacy of trigger point therapy in clinical practice.

3. Pain Referral Patterns: Understand the concept of referred pain, its manifestations, and how it relates to specific trigger points.

4. Clinical Reasoning and Assessment: Develop the ability to effectively and accurately identify trigger point-related dysfunctions using evidence-based assessment strategies.

5. In-depth Exploration of Perpetuating Factors: Gain insight into the factors that contribute to the development and perpetuation of trigger points in various muscle groups.

6. Practical Application: Acquire hands-on skills to accurately locate and palpate trigger points within muscles.

7. Treatment Techniques Mastery: Learn and refine a range of evidence-based treatment techniques, including ischemic compression, muscle energy techniques, and neurodynamic techniques.

8. Comprehensive Muscle Analysis: Dive deep into the clinical relevance of trigger points in specific muscles, enhancing your ability to tailor interventions based on individual patient needs.

9. Video Tutorial Engagement: Engage with 50 video tutorials to visually and practically comprehend the application of various trigger point therapy techniques in real-world scenarios.

10. Interconnected Systems: Understand the relationship between trigger points, muscle pain, and fascia, gaining a holistic view of musculoskeletal pain syndromes and their management.

By the end of this course, participants should be equipped with a robust skill set and knowledge base to incorporate effective trigger point therapy techniques into their clinical practice, ensuring optimal outcomes for their patients.

Kaihlil Nigro, LMT, ACT, TPT, IASTM, FMTA, MHRT/C

Oncology Massage (9.5 CEU Hours) Certificate 2024

Learning Objectives

1. Comprehension of the Fundamentals:
- Understand the principles and foundational concepts of oncology massage.
- Recognize the benefits of oncology massage for patients in various stages of cancer treatment and recovery.
 

2. Safety and Contraindications:
- Identify the contraindications, potential risks, and safety measures to consider when providing massage to oncology patients.
- Demonstrate knowledge of the physiological and psychological effects of cancer and its treatments, and how they may influence massage therapy.
 

3. Assessment Skills:
- Develop the ability to effectively assess and determine the appropriate massage techniques and pressure for oncology patients based on their current health status and treatment stage.
- Familiarize oneself with common oncology medications and their potential impact on massage therapy.
 

4. Technique Mastery: - Acquire hands-on skills in a range of massage techniques specifically tailored for oncology patients.
- Recognize and adapt to the unique needs of oncology patients, including those with surgical sites, ports, radiation burns, and lymphedema.
 

5. Emotional and Psychological Considerations:
- Cultivate a deeper understanding of the emotional and psychological challenges faced by cancer patients and survivors.
- Develop effective communication skills to provide compassionate care and create a safe space for patients to express their needs and concerns.
 

6. Holistic Approach:
- Incorporate an understanding of the holistic needs of oncology patients, including pain management, relaxation, and improved quality of life.
- Recognize the importance of self-care for therapists working with oncology patients and develop strategies to maintain personal well-being.
 

7. Ethical and Professional Standards:
- Understand the ethical considerations specific to oncology massage and uphold the highest standards of professionalism.
- Stay informed on the latest research and developments in the field of oncology massage and seek continuous professional development.
 

8. Interdisciplinary Collaboration:
- Foster collaborative relationships with other healthcare providers to ensure a comprehensive approach to patient care.
- Understand the role of oncology massage within a broader cancer care team and communicate effectively with oncologists, nurses, and other healthcare professionals.
 

By the end of this course, participants should be well-equipped to provide safe, effective, and compassionate massage therapy to individuals with cancer, enhancing their overall well-being and quality of life.

Kaihlil Nigro, LMT, ACT, TPT, IASTM, FMTA, MHRT/C

Spa Cupping Massage (4 CEU Hours) Certificate 2024

Learning Objectives

Upon successful completion of the "Spa Cupping" online course, participants should be able to:

1. Understand the history and origins of cupping therapy and its historical significance across different cultures.

2. Describe the fundamental principles of cupping therapy, including the physiological and therapeutic mechanisms underlying its effects.

3. Identify the various types of cupping techniques, such as dry cupping, wet cupping, fire cupping, and moving cupping, and discuss their distinct applications and benefits.

4. Demonstrate proficiency in using different types of cups for cupping therapy, including glass, silicone, plastic, and bamboo cups.

5. Properly select and prepare the appropriate equipment for spa cupping, ensuring that all tools are clean, sterile, and safe for use.

6. Apply cupping techniques safely and effectively, following proper protocols for cup placement, suction, duration, and removal.

7. Recognize contraindications and precautions for cupping therapy, including skin conditions, open wounds, pregnancy, and certain medical conditions.

8. Utilize cupping as a complementary modality within a spa setting, integrating it with other treatments such as massage, facials, and body wraps.

9. Develop individualized cupping protocols tailored to the specific needs and preferences of spa clients, considering factors such as body area, skin type, and desired outcomes.

10. Understand the potential benefits of spa cupping for various health and wellness goals, including relaxation, stress reduction, detoxification, and improved circulation.

11. Communicate the benefits and potential risks of cupping to spa clients, providing informed consent and ensuring that clients have realistic expectations about the results.

12. Adhere to ethical and professional standards in the practice of spa cupping, respecting client privacy, boundaries, and cultural sensitivities.

13. Continuously seek opportunities for professional development and learning in the field of cupping therapy, staying up-to-date with research and best practices.

Kaihlil Nigro, LMT, ACT, TPT, IASTM, FMTA, MHRT/C

Sports Massage Hip to Toe (3.5 CEU Hours) Certificate 2025

Learning Objectives

Upon completion of this course, participants should be able to:

1. Understand the Anatomy and Biomechanics: Recognize the intricate anatomy of the hip and lower limb, and appreciate the biomechanical relationships that make this region integral to overall athletic performance.

2. Identify Hip Restrictions: Efficiently identify hip restrictions and dysfunctions, understanding their potential cascading effects on lower limb health.

3. Master Treatment Techniques for the Hip: Apply Stuart Hinds' proven methods to alleviate hip restrictions, enhancing mobility and function.

4. Recognize Signs of Lower Limb Disorders: Confidently identify signs and symptoms of common athletic lower limb ailments such as Shin Splints, Achilles Tendon pain, and Plantar Fasciitis.

5. Apply Holistic Treatment Approaches: Implement a comprehensive, holistic approach to managing lower limb conditions, emphasizing the importance of addressing hip dysfunctions as a foundational step.

6. Utilize Hands-on Skills: Employ hands-on massage techniques, trigger point therapy, and other soft tissue strategies, as demonstrated in the course, to effectively manage lower limb conditions.

7. Incorporate Preventative Strategies: Understand and apply preventative measures and strategies, emphasizing the role of the hip in ensuring lower limb health and preventing future injuries.

8. Reference Comprehensive Texts: Efficiently use the provided illustrated texts to deepen understanding, guide practice, and serve as a resource for client education.

9. Engage in Continuous Learning: Reflect upon and integrate the teachings of Stuart Hinds, continually updating and refining techniques in light of evolving best practices in sports massage therapy.

By achieving these objectives, participants should be well-equipped to offer enhanced care to athletes, optimizing performance and ensuring rapid recovery from common injuries.

Kaihlil Nigro, LMT, ACT, TPT, IASTM, FMTA, MHRT/C

Treating Common Sports Injuries (4 CEU Hours) Certificate 2025

Learning Objectives

1. Gain a basic understanding of the principles and techniques involved in assessing sports injuries, including history taking, physical examination, and diagnostic tests.

Identifying Common Sports Injuries:

2. Learn to recognize the symptoms of common sports injuries, including ITB Syndrome, Carpal Tunnel Syndrome, Thoracic Outlet Syndrome, Lateral Elbow Strains, Shin Splints, and Bicep Brachii / Pec Minor Strain

3. Applying Treatment Modalities:
Understand the indications, contraindications, and techniques for applying various treatment modalities, including deep stroking massage, trigger point therapy, cupping, taping, and manual therapy, gua sha/IASTM, to help effectively address sports injuries.

4. Developing Treatment and Rehabilitation Plans:
Learn how to develop individualized treatment plans for each sports injury based on assessment findings, patient goals, and evidence-based practice guidelines.

Implementing Rehabilitation Protocols:
5. Gain insight into the rehabilitation process for common sports injuries, including the development of progressive exercise programs, manual therapy techniques, and functional training to promote optimal recovery and return to activity.
 

6. Understand the importance of injury prevention strategies and patient education in reducing the risk of sports injuries, including proper warm-up techniques, biomechanical corrections, and lifestyle modifications.
Ethical and Legal Considerations:
 

By the end of the course, participants will hopefully have gained additional knowledge and skills, enhancing their ability to provide comprehensive rehabilitation and care to athletes and active individuals, within scope of practice.

Kaihlil Nigro, LMT, ACT, TPT, IASTM, FMTA, MHRT/C

CRANIAL SACRAL THERAPY (5.5 CEU Hours) Certificate 2025

 Certificate

Learning Objectives

1. Understanding Cranio-Sacral Principles: Gain a comprehensive understanding of the principles underlying Cranio-Sacral Therapy, including the anatomy and physiology of the craniosacral system and its role in overall health and well-being.

2. Developing Assessment Skills: Learn how to perform thorough assessments of the craniosacral system, including palpation techniques to identify cranial and sacral dysfunctions and assess the quality and rhythm of cerebrospinal fluid flow.

3. Applying Cranio-Sacral Techniques: Master a variety of hands-on techniques used in Cranio-Sacral Therapy, including gentle manipulations, holds, and releases to restore balance and harmony to the craniosacral system.

4. Integrating Cranio-Sacral Therapy into Practice: Explore practical applications of Cranio-Sacral Therapy in clinical settings, including its use as a stand-alone therapy or as a complementary modality alongside other manual therapy techniques.

5. Enhancing Treatment Outcomes: Discover how Cranio-Sacral Therapy can be used to address a range of conditions and symptoms, including headaches, neck and back pain, stress-related disorders, and more, to optimize treatment outcomes and promote overall wellness.

6. Ensuring Safety and Professionalism: Learn how to create a safe and supportive environment for clients undergoing Cranio-Sacral Therapy, including obtaining informed consent, maintaining professional boundaries, and responding to client needs and reactions appropriately.

7. Continuing Education and Self-Development: Recognize the importance of ongoing education and self-development in the field of Cranio-Sacral Therapy, including opportunities for further study, professional networking, and personal growth.

By the end of the course, participants should have gained the knowledge, skills, and confidence to assist them in integrating Cranio-Sacral Therapy into their practice, enhancing their ability to promote healing and well-being for themselves and their clients.

Kaihlil Nigro, LMT, ACT, TPT, IASTM, FMTA, MHRT/C

Treating TMJ Disorders (3 CEU Hours) Certificate 2025

Learning Objectives

1. Master the Anatomy of TMJ:
- Identify and describe the key anatomical structures associated with the temporomandibular joint (TMJ).
- Understand the biomechanics and functional dynamics of the TMJ and surrounding musculature.
 

2. Differentiate Various TMJ Disorders:
- Recognize the signs and symptoms of different forms of TMJ disorders.
- Differentiate between various TMJ conditions based on clinical presentation and patient history.

- Know when to refer
 

3. Conduct Differential Diagnosis (within scope of practice):
- Utilize assessment techniques to determine the specific nature of a TMJ disorder.
- Differentiate TMJ disorders from other conditions that may present with similar symptoms.
- Determine when to refer patients for further medical evaluation or intervention.
 

4. Recognize and Implement Contraindications:
- Identify situations or conditions where certain treatments are not advisable.
- Understand the potential risks and complications associated with treating patients with specific health backgrounds or presentations.
- Modify treatment approaches based on contraindications to ensure patient safety.
 

5. Execute Effective Treatment Techniques:
- Develop proficiency in applying step-by-step techniques tailored to different TMJ disorders.
- Integrate a combination of soft tissue therapy, mobilizations, and other therapeutic interventions to alleviate symptoms.
- Customize treatment plans based on the specific needs and presentations of individual patients.
 

6. Engage in Comprehensive Patient Care:
- Effectively communicate with patients about their TMJ disorder, ensuring they understand their condition, treatment plan, and expected outcomes.
- Provide patients with home care recommendations, exercises, or stretches to assist in their recovery and prevent recurrence.
- Recognize when and how to collaborate with other healthcare professionals for a holistic approach to TMJ management.
 

7. Commit to Continuous Learning and Professional Development:
- Stay updated on the latest research, findings, and best practices related to TMJ disorders.
- Integrate new knowledge and techniques into practice for enhanced patient care.
- Engage in discussions, further training, and peer consultations to continually improve TMJ disorder management skills.
 

By the end of this course, participants will be well-equipped with a comprehensive understanding of TMJ disorders and a skill set that enables them to offer effective and safe treatments to patients presenting with these conditions.

Kaihlil Nigro, LMT, ACT, TPT, IASTM, FMTA, MHRT/C

Treating Chronic Neck Pain (4 CEU Hours) Certificate 2025

Learning Objectives

Upon completion of this course, participants should be able to:

1. Neck Anatomy Proficiency: Understand the comprehensive anatomy of the neck, including both superficial and deep structures, and their roles in movement, support, and potential pain origination.

2. Whiplash Recognition & Treatment: Identify the signs and symptoms of whiplash injuries, comprehend their long-term implications, and implement therapeutic techniques to address related discomfort and limitations.

3. Diagnose Diverse Neck Pain Causes: Differentiate between various causes of chronic neck pain, from musculoskeletal to neurological origins, ensuring accurate diagnosis and targeted treatment.

4. Trigger Points Management: Locate and treat specific cervical region trigger points, utilizing manual techniques to alleviate localized and referred pain patterns.

5. Safe Mobilization Execution: Demonstrate proficiency in mobilizing the neck using techniques that prioritize client safety, comfort, and therapeutic effectiveness.

6. Torsional Release Expertise: Apply the torsional release technique to address and alleviate torsional strains, understanding its benefits and indications.

7. Client-Centered Approach: Adapt and modify treatment protocols based on individual client needs, histories, and comfort levels, ensuring an effective and personalized therapeutic experience.

8. Continuous Evaluation & Adjustment: Assess the effectiveness of applied techniques through feedback and observable outcomes, making necessary adjustments to optimize results.

9. Informed Decision Making: Integrate knowledge of neck anatomy, common pain causes, and advanced techniques to make informed therapeutic decisions that prioritize client well-being.

10.Stay Updated & Ethical: Recognize the importance of continuous learning, adhere to the highest standards of practice, and uphold ethical considerations when treating clients with chronic neck pain.

By achieving these objectives, participants should be well-equipped to offer specialized, effective, and client-centered care for individuals experiencing chronic neck pain.

Kaihlil Nigro, LMT, ACT, TPT, IASTM, FMTA, MHRT/C

TREATING the COMPLEX SHOULDER (8 Hours CEU) Certificate

Learning Objectives

Upon completion of this course, participants should:

1. Gain a thorough understanding of shoulder anatomy and its relationship to common shoulder pathologies.

2. Identify and differentiate between various shoulder pathologies based on clinical presentation and diagnostic findings.

3. Develop proficiency in conducting comprehensive assessments of shoulder function and mobility.

4. Implement evidence-based treatment strategies, including manual therapy techniques, therapeutic exercises, and modalities, to address specific shoulder pathologies.

5. Learn step-by-step rehabilitation protocols for optimal recovery and functional outcomes.

6. Enhance clinical reasoning skills to formulate individualized treatment plans based on patient presentation and goals.

7. Apply best practices in patient education and injury prevention strategies to optimize long-term shoulder health and function.

Kaihlil Nigro, LMT, ACT, TPT, IASTM, FMTA, MHRT/C

TREATING the ROTATOR CUFF (4 Hours CEU) Certificate

Learning Objectives

By the end of this 4-hour online course, participants should be able to:
 

1. Identify and Describe the Anatomy of the Rotator Cuff Muscles:
- Recognize the distinct anatomical features of each of the four rotator cuff muscles.
- Understand the specific roles and functions of the rotator cuff muscles within the shoulder complex.
 

2. Understand the Mechanisms Behind Trigger Point Development:
- Explain the pathophysiology of trigger points, specifically in the context of the rotator cuff muscles.
- Pinpoint common reasons, both intrinsic and extrinsic, that contribute to the formation of trigger points in these muscles.
- Recognize common signs and symptoms associated with trigger points in the rotator cuff muscles.
 

3. Perform Comprehensive Assessment and Treatment Protocols:
- Utilize palpation and assessment skills to accurately locate trigger points within the rotator cuff muscles.
- Implement comprehensive treatment protocols for effectively addressing trigger points in these muscles, using manual therapy techniques.
- Demonstrate proficiency in integrating adjunct therapies such as heat, ice, and stretching to optimize treatment outcomes.
 

4. Apply Combined Therapeutic Techniques for Optimal Results:
- Integrate a combination of manual therapy techniques (e.g., ischemic compression, deep stroking massage) with thermal therapies and stretching for a holistic approach.
- Determine when to use heat versus ice in the context of treating rotator cuff trigger points, and understand the physiological effects of each.
- Utilize appropriate stretching techniques tailored for each specific rotator cuff muscle to alleviate trigger point discomfort and enhance muscle flexibility.
 

5. Promote Safety and Client Comfort:
- Recognize potential contraindications and precautions when working with the rotator cuff muscles.
- Ensure that treatments are performed with an emphasis on client safety, comfort, and informed consent.
 

6. Apply Knowledge to Diverse Populations:
- Adapt treatment techniques for different client populations, considering factors like age, activity level, and specific shoulder-related concerns.
- Understand the relevance and applicability of rotator cuff trigger point therapy for various professional groups including healthcare workers, athletic trainers, and manual therapists.
 

Upon completion of this course, participants should be equipped with a deep understanding of the rotator cuff muscles in the context of trigger point therapy and will be prepared to deliver effective treatments to diverse populations with confidence and competence.