P-DTR training for clinicians
I co-teach the P-DTR Foundation course in Germany Training is built for manual therapists, movement clinicians, sports medicine practitioners, and others whose work depends on understanding why the tissue behaves the way it does. Trained directly under Dr. José Palomar, the clinician who developed P-DTR (Proprioceptive Deep Tendon Reflex) in the 1990s and teaches a small certified faculty worldwide
What you walk away with
A durable skill
Hands-on practice throughout, with application kept within each participant's professional scope and jurisdiction
Precise knowledge
Receptor physiology (how sensors in joints, skin, muscle, eyes, ears generate signals), afferent pathways (the routes those signals travel from sensor to nervous system), and the nervous-system logic underneath the method
Clinical reasoning
Build a repeatable baseline, change one condition, and interpret the comparison without outrunning the observation
Documentable change
Receptor-based assessment provides observable markers - sway parameters, stabilometry (force-platform measurement of postural sway), muscle response - you can record at the start and end of a session
Certificate of completion
Certificate of completion is issued upon finishing the full seminar sequence. This training does not currently offer ACCME-accredited continuing medical education credits unless explicitly stated for a specific event
Author-level certification
Eligibility to sit the certifying examination with Dr. José Palomar after completion of the full curriculum
What you'll study
Five areas of study, worked through in parallel across the five seminars of the base course. Every one is taught through receptors and afferent input. That is the common axis across all five
- 01
Mastery of the P-DTR method
- 02
Neurophysiology
- 03
The postural system
- 04
Applied neurophysiology
- 05
Functional diagnosis and clinical work with the musculoskeletal system
For whom
Designed for hands-on clinicians who work with muscle, movement, and pain - manual therapists, chiropractors, physical therapists, clinicians in movement and rehabilitation, sports medicine clinicians, osteopaths, massage therapists, and applied kinesiologists. All of them work on tissue whose behavior they need to explain, not just treat
Five seminars.
Three days each.
Enough to change how you practice
- Theory and intensive hands-on practice in parallel
- Real clinical cases, worked through in the room
- Current, maintained clinical manuals
- Designed to integrate into your existing scope of practice from the first seminar onward, within the regulatory limits applicable to your jurisdiction
Currently taught in Germany. I have taught with P-DTR Global since 2023 and trained directly under the method's founder, Dr. José Palomar See the Foundation course overview for the confirmed details available for a future cohort
Introduction to P-DTR
- Pro-Prio tests - a fast-triage diagnostic tool
- The core tools and rules of the P-DTR method
- Enough foundation to begin working with nociceptor-driven patterns within your existing scope of practice (clinical work focused on pain-pathway dysfunction)
See the Introduction to P-DTR overview for the confirmed details available for a future session
Train with me
Email for current dates, location details, and enrollment in the Foundation course and master-classes. Enrollment is handled directly by email; there is no online form
Ask about upcoming cohortsQuestions before you reach out? Email alex@atiakshev.com or message on Instagram @dr.alexatiakshev · or see the contact page. Read the Foundation course overview and the one-day Introduction first
Training questions
Who can take P-DTR training?
Training is designed for licensed and qualified clinicians - manual therapists, chiropractors, physical therapists, clinicians in movement and rehabilitation, sports medicine clinicians, osteopaths, massage therapists, and applied kinesiologists who already assess and treat patients
Where are the seminars held?
Seminars are currently taught in Germany and are open to clinicians from any country. Dates are announced by email
Do I need prior P-DTR experience?
No. The Foundation course starts from receptor physiology and builds the full method step by step. A shorter Introduction is also available for clinicians who want a working frame before committing to the full course
Does the training carry CME or CEU credit?
No. This training does not carry ACCME-accredited continuing medical education credit unless explicitly stated for a specific event. Many clinicians apply the method within their existing scope of practice and document it as professional development; check your own licensing board's criteria