Total Body Balancing 2 (TBB2)

Prerequisite: Total Body Balancing 1 (TBB1). TBB2 is available as a Home Study Program.

Total Body Balancing 2 (TBB2)

TBB2 is available in a Home Study Program. Click here for more details.

The TBB2 class reviews and expands upon the concepts and principles from TBB1. In this class, we will further your understanding of the evaluation (ARTS) of the spine, rib cage, pelvis/sacrum, upper and lower extremities and organ system. TBB2 will focus on the ability to evaluate and treat the entire body in the supine and prone positions. This is a significant skill when working with patients who are unable to sit or side lie. In this class, advanced long lever mobilization techniques will be taught in the supine and prone positions.

Course Objectives

  • The TBB1 full body evaluation and treatment routine will be reviewed and reinforced.
  • We will expand upon and add to the evaluation from TBB1 and introduce a full body ARTS evaluation in the supine and prone positions.
  • We will teach you advanced long lever mobilization techniques that can be performed in the supine and prone positions.

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 traditional osteopathic manual practice 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.


"Total Body Balancing is an incredible investment when it comes to building your practice and getting results. Total Body Balancing brings the principles of Classical Osteopathy to life in a format that allows manual therapists to create a customized and integrative treatment for each patient based on dynamic evaluation. Everyday in my practice I hear incredibly positive feedback and see amazing changes in my patients by utilizing this simple but profoundly effective approach to supporting the body in its ability to heal."

T. Clark, Student of Classical Osteopathy, MOT, Canadian Academy of Osteopathy