Total Body Balancing 1 (TBB1)

Prerequisite: Professional healthcare practitioner, student in healthcare program or graduate awaiting licensure/accreditation.

Total Body Balancing 1 (TBB1)

The TBB1 fundamentals class teaches you a full body evaluation focusing on ARS of the ARTS evaluation and a 5 phase rhythmic mobilization treatment template in the supine, prone, side lying, and sitting position. TBB uses long levers (arms, legs, head/neck or torso) and rhythmic mobilization to release tension in the fascia around muscles, diaphragms, bones, joint capsules and ligaments, foreign objects, organs, vital structures (nerves, arteries, veins and lymphatics) brain and spinal cord. TBB will also improve the flow of nerves, arteries, veins, lymphatics and energy flow to, within, and from every organ and body part in the body. This leads to homeostasis and improved health.

Course Objectives:

  • You will learn traditional osteopathic manual practice philosophy, the general concepts and principles of TBB.
  • You will learn to perform and document a full body evaluation, which consists of postural asymmetry, active and passive range of motion (spine, rib cage, pelvis/sacrum, upper and lower extremities, and diaphragms) and special tests (ARTS).
  • You will learn a full body TBB template that can be performed in supine, prone, side lying and seated positions. This will be your basic template to work from.

Total Body Balancing (TBB), expands on the work and teachings of John Wernham D.O. (Body Adjustment).TBB is a total body evaluation and a 5-phase treatment approach based on classical osteopathic philosophy. TBB uses long levers (arms, legs, head/neck or torso) and rhythmic mobilization to release tension in the muscles, fascia, joint capsules and ligaments to improve circulation, nerve, and energy flow. This helps to normalize sympathetic and parasympathetic neurological activity while the use of long levers maximizes effect with less effort on behalf of the practitioner. This long lever approach of rhythmic mobilization influences all systems of the body including the lymphatic, the visceral and the craniosacral, myofascial and musculoskeletal systems and serves as an overall support and integration for specific treatment. This is called a maximal approach and treats the body as a whole.

You will learn to perform a full body evaluation (ARTS) and a five phase full-body treatment routine called "Total Body Balancing."TBB will help to improve the patient's biomechanical structure focusing on reducing muscle tension, fascial tension (including the fascial influence of the lymphatic system, the craniosacral system and visceral system), increasing joint mobility, and helping to restore proper joint biomechanics, functional ROM, balancing lines of tension and postural alignment. TBB also improves the patient's physiological function focusing on balancing organ mobility/motility, blood, lymph, body fluids, nerve, and energy flow while reducing swelling and pain. You will see immediate changes in your patient's pain and functional level. TBB can be used in the treatment of back pain, sciatica, neck pain, headaches, rib pain, upper and lower extremity orthopedic dysfunctions, swelling, and postural asymmetry. Because of the gentleness and effectiveness of TBB, it is appropriate for the following patient populations: pediatrics, geriatrics, sports injuries, auto accidents, general orthopedic conditions, amputees, respiratory, and neurological patients. You will be given a highly illustrated manual outlining each evaluation and treatment technique. This four day course involves a combination of theory, demonstration and hands-on practice. Evaluation and treatments will be performed by each participant using the methods learned. Plenty of time is allotted for hands-on practice as well as questions, discussion and review.

TBB, like all other manual techniques, begins with evaluation. You will learn to utilize the principles of ARTS to evaluate for The Total Body Lesion.

The A stands for Asymmetry: The practitioner evaluates the patient for Postural Asymmetry in the sagittal, frontal, and transverse planes in both standing and sitting. Which body part displays the greatest asymmetry?

The R stands for Range of Motion: The practitioner evaluates the range of motion (ROM) of the cervical, thoracic, and lumbar spine, the rib cage, upper and lower extremities. You will learn to assess any restrictions to normal ROM during both active and passive movements.

The T stands for Tension Tests: The practitioner will perform tension tests for the cervical, thoracic, and lumbar spine, the rib cage, upper and lower extremities. Normally, when performing tension tests, the palpation should find a soft, supple and springy end feel. If the sensation is hard and restrictive, dysfunction is present.

The S stands for Special Tests: The practitioner will perform specific orthopedic tests to confirm your findings.

Once you have evaluated your patient (ARTS), you can perform a Total Body Balancing. Following treatment, a re-evaluation is performed to mark change. This will help to validate your work to your patient as well as indicate the need for further treatment.

Class Details


"28 years after PT school, there were many courses that gave me an answer or two of the crossword puzzle. This one presented a mindful answer key. A well thought out, organized, straightforward guide that integrates many schools of thought. Usually, if I learn a few new things, I think it's a good course. TBB taught me a new paradigm with dozens of insights that pulls together old models and opens up fresh new thinking...on physical, mental and consciousness rehabilitation. The kaleidscope that is sometimes my patients now has a better lens. Thank you. I was also pleasantly surprised and excited by the introduction of non-traditional techniques that seem to incorporate Upledger, Barnes, Oriental Medicine and the mind/body connection."

M. O'Connor, PT

"Thank You for the wonderful class on Total Body Balancing 1. This class put all the bits and tools together. I witnessed some jaw-dropping hours with Dr. Kerry, and like everyone leaving his class, was changed. Literally before our eyes we witnessed life-long restrictions and barriers, never facilitated to release at the same time, release. We were more confident, fluid and really ready to assist our clients to achieve total balance for themselves. We all have different combinations of certifications, but by class consensus, we want more classes in TBB.

J. Davis, MA, LMT

"The treatment techniques were gentle, easy to tolerate and very effective in achieving positional change, better ROM and better function. Dr. D'Ambrogio used long and short lever arms combined with gentle pumping techniques, and functional positioning to open different restrictions and achieve total body balance.  TBB makes it possible to integrate many techniques such as lymph drainage, craniosacral, visceral and neural manipulation and soft tissue and myofascial release in order to help our clients in a better way by adding them on to the basic concepts of this class. I felt ready to use what I learned immediately after the class and have had some very good results within the first weeks. The manual describing the techniques is precise, easy to understand and follows, one of the best manuals I have seen.

T. Uliantzeff, PT, LLCC

"My partner Bob and I took the 'Total Body Balancing 1' class, taught by Kerry D'Ambrogio in Portland, Oregon. I was looking forward to the class because of the on-line description of learning how to do a full body evaluation from a traditional osteopathic manual practice perspective. We got so much more. First of all, Kerry is an amazing teacher. He is very confident (without being arrogant) in his knowledge, as well as, his techniques. The material was well organized and presented in a very professional and methodical manor, yet with a relaxed and humorous atmosphere. He was very obliging in repeating information that was, either not heard or not understood. This all made it much easier for me to learn the material. The printed material was also laid out in a clear, systematic way and easy to follow. I came away with a much better understanding of how and why to do a full body assessment which has given me the confidence to know that I can, now better serve my clients/patients. Bob and I were so excited and motivated by Kerry and what we learned that we have decided to not only put it to use immediately, but we have also returned to school to become a Osteopathic Physician after 6 years in the Medical University.

Thanks, Kerry for this life–changing experience."

C. Heartsong, LMP

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