Advanced Neuromuscular Therapy Program

Advanced Neuromuscular Therapy Program

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Blossom Neidenbach | Santa Rosa Campus

The training and education I received at NHI was very thorough and I enjoyed the structure of the classes. They include the history of massage modalities in their program. It was easy to do part time while working full time. I wouldn’t have a career without NHI. NHI really helped me find something I’m passionate about and want to carry with me forever!

Blossom Neidenbach | Santa Rosa Campus

Zulma Portillo Martinez | Sacramento Campus

NHI has changed my personal life completely. I have met people who are generous, kind, educated and have goals in their lives. That has helped me in my life because today, I can see that whatever you set your mind to and pursue can be done. NHI helped me open doors to make my own business doing what I love most.

Zulma Portillo Martinez | Sacramento Campus

Reggie Reaves | Emeryville Campus

Deciding to go to NHI to learn massage therapy and start my own private practice was one of the best decisions I have ever made in my life. After checking out several other massage therapy schools, there was no comparison to the energy and enthusiasm I saw and felt in the NHI classroom. I owe NHI everything! I have never been happier creating a life for myself doing massage therapy.

Reggie Reaves | Emeryville Campus

Lisa Farnworth | Redding Campus

NHI teaches by using auditory, visual and kinesthetic methods. The information, while extensive, flows in a manner that is quite easy to learn and understand. I would highly recommend NHI to all that would like to enter the massage world. The staff and mentors are always available to meet your every need and answer your every question so upon graduation you feel like you are well prepared to enter the workforce.

Lisa Farnworth | Redding Campus

Brittany "Shon" Anderson | Studio City Campus

NHI is a place where everyone is able to show up as their best and highest self and unapologetically come and be as they are. I found the environment to be accepting, compassionate and full of very passionate, knowledgeable staff. NHI provided me with many tools to help me better care for people on a much more deep and profound level with the holistic approach in the Core Massage Therapy Program. I went on to complete the Advanced Neuromuscular Therapy (ANMT) Program which gave me the ability to work smarter instead of harder.

Brittany “Shon” Anderson | Studio City Campus

Advanced Neuromuscular Therapy Program

Our 450-hour Advanced Neuromuscular Therapy Program is a stand-alone continuing education program for massage therapists and other health care professionals.  Our program is a comprehensive continuing education program, and is the only continuing education program for bodywork in the country that is accredited by the Department of Education.  The curriculum is delivered in a 5-Module progression and focuses on advanced assessment, strategizing and neuromuscular therapy techniques.

If you completed massage therapy education of at least 500 Hours and/or are a licensed health care professional, completion of the Advanced Neuromuscular Therapy Program will allow you to:

  • Set yourself apart with an understanding of the biopsychosocial pain management approach.
  • Achieve the confidence to communicate and collaborate with other healthcare professionals.
  • Be a part of the solution to the opioid crisis by gaining experience with detailed assessment and neuromuscular techniques for persistent pain and injury rehabilitation.
  • Increase your freedom and opportunity to work in any environment from spas, to chiropractic offices and physical therapy studios, to building your dream private practice.

If you are a Physical Therapist, Chiropractor, Doctor, Nurse or other healthcare professional who frequently helps patients rehabilitate from pain and injury, this program will add depth and dimension to your ability to facilitate healing in your patients.

This Program consists of 5 Modules, each of which focuses in detail on one area of the body:

  • Shoulder Thoracic
  • Head & Neck
  • Lumbar Pelvic
  • Lower Extremities
  • Upper Extremities

Within each module, you will receive the following in-depth information:

Functional Anatomy: The foundation of study in this program is based on the understanding of bodily structure as it relates to function.

  • Conversation begins on a microscopic level in learning the physiology of muscle contraction and how the nervous system initiates this process.
  • Layer and dimension are then added to the body, taking into account all of the tissues affecting functionality: muscles, bones, joints, joint capsules, fascia, ligaments, tendons and nerves.
  • With these building blocks in place, study centers around how inert and contractile tissues work together dynamically to produce both movement and stability.

Orthopedic Pain and Injury Assessment: Our students engage in daily discussion of what can go wrong biomechanically to produce pain, dysfunction and injury.  Layered in to the conversation are the biopsychosocial patterns that lead to persistent pain.

  • With a strong understanding of forces that damage soft tissue, the physiology of soft tissue healing, and how pain patterns manifest in the body, students learn to apply a methodical H.O.P.R.S (History, Observation, Palpation, Range of Motion testing and Special testing) assessment process to build a multi-dimensional, biopsychosocial picture of what is happening within the client’s body.
  • Utilizing this information, they can create detailed short and long-term plans to support a client’s healing process in collaboration with other health care professionals.
  • To best track and support a client’s healing process, as well as to support collaboration with other health care professionals, students gain an understanding of the importance of keeping comprehensive session notes throughout each session in the S.O.A.P. (Subjective, Objective, re-Assessment, Plan) format.

Neuromuscular Therapy: The understanding of H.O.P.R.S informs our neuromuscular therapists of how to apply the tools of neuromuscular therapy in a specific and targeted manner:

  • Applying Trigger Point Therapy to alleviate myofascial pain caused by spasm at the neuromuscular junction;
  • Multi-directional Deep Transverse Friction to decrease and re-align scar tissue throughout the healing process;
  • Lymphatic Massage techniques to decrease the edema and metabolic waste that can accumulate during healing;
  • Proprioceptive Neuromuscular Facilitation to help the nervous system communicate more effectively with the musculoskeletal system;
  • Understanding that sometimes, the best “neuromuscular” approach might be a relaxing Swedish or Energy Massage until the client’s body is ready to receive more targeted modalities.

Advanced Topics in Client Care: An array of additional classes’ further support the ability of our 450-hour graduates to work with clients and collaborate with other health care professionals.

As an Advanced Neuromuscular Therapy Program student, you will:

  • Experience 5 virtual cadaver labs integrating the knowledge of the academia covered and the practical application to injuries and pathologies. These virtual cadaver labs utilize high quality videos featuring non-embalmed cadavers which give students a more accurate representation of the tissue within the living body.
  • Learn techniques in Corrective Actions, which provide you with powerful tools to empower your clients to become active partners in their own healing and increase awareness of how to best collaborate with a variety other health care professionals.
  • Receive access to over 350 manual therapy technique and academia videos created by Cynthia Ribeiro, the Advanced Neuromuscular Therapy Program Founder.


  • Massage therapists with a minimum of 500 hours of training, OR;
  • Training in other healthcare disciplines

Advanced Neuromuscular Therapy

ADVANCED BODYWORK OF HEALING PHYSIOLOGY ANATOMY GROSS CLIENT ASSESSMENT ADVANCED PROGRAM Myofascial Therapies Lymphatic Massage Orthopedic Techniques Trigger Point Therapy Clinical Sports Massage Advanced Deep Tissue Neuromuscular Therapy Biomechanics of Injury Orthopedic Testing Client Treatment Strategies Range of Motion Testing Building Collaborative Relationships Injury Prevention Injury Rehabilitation Pain Management Soft Tissue Healing Medical Massage Functional Anatomy Kinesiology Virtual Cadaver Experience

Click on any class name in the graphic or list below to learn more.

Advanced Deep Tissue

Done properly, “deep tissue” is about specificity of touch and angles of entry, not the compressive forces usually associated with this modality. In the ANMT the student therapist will gain an understanding of what it means to be more engaged while using less pressure and better body mechanics. The ANMT bodywork focuses on use of fingers, thumbs and elbows to palpate and identify bony landmarks and taut tissue. When the neuromuscular therapist finds a “knot,” this area will be hypersensitive for the client. As the therapist finds the appropriate angle of entry to focus touch on these areas, this will create a sensation of deep pressure for the patient/client. The client feels less pain than a traditional deep tissue massage and will experience better long term healing. Along with these new concepts and understandings of the bodywork come increased longevity in the field of massage and pain free work for the massage therapist.

Cadaver Lab Experience

Cadaver Lab experience has been described by students as extremely eye opening. Seeing the body in a three dimensional sense allows them to have a much firmer understanding of muscles in relationship to surrounding structures such as the organs and the skeletal system they envelop. This approach to learning about the body is highly engaging for our students. They get to actually see the layers of muscles and the relationship of connective tissues layers within the body.

Clinical Sports Massage

Commonly known injuries and pathologies can both occur during athletic endeavors as well as during every day activities. The familiar feeling of a pulled hamstring or a diagnosis of Tennis Elbow could be derived from playing tennis or repetitive work duties in a warehouse.

The Clinical Sports Massage therapist is able to understand the biomechanics of activity and mechanisms of injury that would contribute to pain and dysfunction for the patient/client. Utilizing that knowledge, along with an advanced understanding of functional anatomy, assessment protocols, and soft tissue healing, the therapist is able to strategize bodywork best suited for their patient/client for both preventative and rehabilitative treatments.

Though the title of “Clinical Sports Massage” may sound like every client is an athlete, the term is used to represent a focus on activity based injuries and pathologies. Clinical Sports Massage is not a singular modality. The practice encompasses a combination of advanced functional anatomy, kinesiology, and various types of stretching and soft tissue manipulation. In the ANMT program you will become adept at utilizing all of these concepts.

Critical Analysis of Client Needs

Learn to take the information clients give, assess it against your background of anatomy, and plan a customized session to address their concerns.

Injury Prevention

The massage therapist’s most important job is to work with a client’s pain and dysfunction before it becomes an actual injury. Often, patterns of pain and tension predispose an area to injury by causing inefficient or unbalanced movement.

For example, we work on Trigger Points and tension in the muscles of the lower leg before this pain and tension results in a more severe injury, like shin splints, stress fractures, or torn ligaments. We learn to explain this process to a client and then specifically plan out the appropriate bodywork and number of sessions needed to get the specific results.

Injury Rehabilitation

When a client comes to us with an injury, we can collaborate with other medical professionals to speed and compliment the body’s healing processes. Once a client has been diagnosed by the proper healthcare professional (ATC, PT, DC, MD, DO) with a particular condition, for instance sciatica, Runner’s Knee, or rotator cuff tears, we can collaborate with that medical professional to ensure that we select techniques, which will complement the recommended rehabilitation path. Our students learn the physiological processes the body goes through as it is healing, as well as the proper techniques to use to facilitate the healing and rehabilitation processes.

We learn to apply techniques that discourage the formation of excess scar tissue, apply proprioceptive neuromuscular facilitation stretches, apply lymphatic techniques, deep transverse friction, and post-surgical massage. All of these skills can help speed up the rehabilitation of the injured area.

Longevity in the Massage Profession

Discover how to provide deep work without using much pressure, how to respond to client injuries, and achieve very real results.

Medical Massage

In order to collaborate with health professionals, an in-depth client assessment and a comprehensive strategy are necessary. Students will learn the medical terminology needed for these interactions, and become proficient in the skills that are becoming essential to succeed, as healthcare fields integrate. Students learn a detailed assessment protocol known as HOPRS (History, Observation, Palpation, Range of Motion testing, and Special tests). The thorough and methodical assessment provides the therapist insight and understanding of the patient/client medical history and how these factors have contributed to the “problem” being presented. Short term and long term goals for patient/client care and health are created in conjunction with other healthcare professionals as needed. The neuromuscular therapist applies techniques such as lymphatic massage, PNF stretching, DTF, myofascial release, and somatics, which complement the body’s own natural healing processes. This is an exciting field that is growing in awareness and acceptance by both clients and health care providers as they look for integrative therapies in today’s health care system.

Myofascial Therapy

Students will learn to apply techniques specifically designed to affect the relationship of the muscular and fascial structures comprised in the soft tissues, by increasing range of motion, improving posture, and/or aiding the rehabilitation process.

Neuromuscular Therapy

In Neuromuscular Therapy, one of our key areas of focus and study is Myofascial Trigger Points. Trigger Points are microscopic spasms that form at the neuromuscular junction, where the nervous system communicates with a muscle. We study the physiology of a healthy neuromuscular junction, what goes “wrong” to activate the trigger point, and then apply specific techniques to encourage the neuromuscular junction back to healthy function. A muscle with trigger points becomes weak, painful, and dysfunctional, and can pre-dispose a person to more serious injury. In fact, symptoms created by a trigger point can mimic other clinical conditions. For example, a trigger point in Pectoralis Major might feel like a heart attack, in Supraspinatus might feel like shoulder bursitis, in Pronator Teres might feel like carpal tunnel syndrome, in Gluteus Minimus like sciatica. Therapists learn a thorough assessment procedure known as HOPRS to differentiate between myofascial dysfunction and trigger points, and more serious dysfunction and injury. Techniques applied to re-create neuromuscular health include lymphatics, PNF stretching, deep transverse friction, myofascial release, somatics, and corrective actions.

Orthopedic Testing

You will learn specific assessment tools to determine if massage is appropriate for a certain condition, or if you need to collaborate with another healthcare professional to ensure proper and effective client care. This information is obtained through an assessment protocol known as HOPRS (History, Observation, Palpation, Range of motion tests, and Special [orthopedic] tests), a methodical and organized way to gather information about the client’s condition.

For example, a client comes in with low-back pain.  It is important to determine if their low-back pain is due to a muscular problem, a nerve problem, or a joint problem. Using the HOPRS protocol of assessment and orthopedic testing, a massage therapist can assess for the likely origin of pain and dysfunction in the body. Massage therapists work with muscle and other soft tissue; when our testing indicates the possibility of a joint or nerve problem, we must refer the client to a qualified medical professional for diagnosis, and then collaborate with that medical professional for effective client care.

Pain Management

Obtain skills to assess if a muscle is the actual cause of pain, and apply appropriate massage.

Re-invigorating Your Business

Add exciting new dimensions to your professional work, to increase your business, by collaborating with other health care professionals and being able to work with clients with special needs.

Soft Tissue Injury & Healing

Students learn the physiology of soft tissue healing in order to discern where the client is in her/his healing process after an injury or surgery. Knowing this information helps to determine which modalities a therapist can apply to compliment and facilitate healing. Students also learn the likely causes of soft tissue injury, and how to help their clients avoid re-injury through client education.


Somatics training allows massage therapists to gain a better understanding of how movement and coordination goes from a conscious to an unconscious process. Students will learn how muscle guarding patterns create postural misalignments and dysfunction, as well as how to apply specific Somatic techniques to release the body’s chronic holding patterns. Through this knowledge, therapists will be able to provide client education in Somatic exercises, as a part of their own self-care.

Trigger Point Therapy

Your patients/clients can get better, even after years of suffering from chronic pain. Trigger Point Therapy is one very useful part of neuromuscular therapy. The techniques used help clients recover from pain associated with various injuries and illnesses. We will discuss different types of trigger points and look at what are called referral patterns. Many muscles can send pain to areas of the body that seem unrelated. In addition to pain, we discuss other symptoms, which the patient/client might be experiencing due to trigger points, such as watering eyes, runny nose, heartburn, or digestive issues. Dysfunctional muscles can also mimic other health conditions of the body. We discuss what “activates” or creates trigger points in muscles throughout the body. This knowledge is incredibly useful in educating the client regarding activities they can do or avoid to become a partner in the healing process. One of the main goals of trigger point work is to alleviate pain and the associated difficulties with movement and posture.