In Reciprocal Tension

In Reciprocal Tension

Pathway to Fellowship: Module 5

Tutor explaining skull bones

This course will help you to develop your palpatory awareness of the connective tissue throughout the whole body, discover the secrets of the body’s structural tensegrity and explore how this can influence the treatment of your patients.

William Garner Sutherland advised us to “treat the spaces not the structures.” This course explores how to shift perspective to the spaces he described and how they are contained and connected via reciprocal tension throughout the body.

We will explore how to access awareness of these spaces through practical, palpation and sensory exercises throughout the course.

Lectures on the course present the latest research in the function of fascia, embryological development of the meninges and the extracellular matrix as an intelligent organ and relate these findings to insights prophesied by AT Still and WG Sutherland.

By the end of the course you will have a greater understanding of how the body organizes itself in response to the different forces, stresses and strains it encounters. This will help you gain insight how osteopathic treatment can engage with the intelligent connective tissue matrix in your patients.

Course Content

  • Introduction to the concept of Reciprocal Tension
  • Reciprocal tension systems in the body as a whole
  • Anatomy and clinical importance of the meninges
  • The venous sinuses
  • Embryology of the dura
  • Physiology of fascia
  • Reciprocal tension in the endocrine system
  • Tensegrity
  • Reciprocal tension and the 5 phenomena
Eligibility: Completion of Module 2
Location: Hawkwood, STROUD
Price: £895 (non-res) £995 (res)
Duration: 3 days
CPD: 24 hours
Frequency: Every 2 years
Leader: Pamela Vaill Carter

Book Your Course

Book Your Course

Forthcoming opportunities to take Module 5: In Reciprocal Tension

Prices in euros for UK courses and sterling for German and Spanish courses are approximate and for reference only.



What our students say about Module 5: In Reciprocal Tension

“Marvellous tutors who are so expert and so generous in their support of our learning.”

“Great up-to-date research to support the theories and the osteopathic principles, together with the insights that just kept unfolding!”

“The course exceeded all my expectations in a freedom to enjoy learning about cranial osteopathy.”

“The whole course dynamic was great. The flow between structured, well presented and researched lectures, to the well controlled and directed practicals – all fantastic!”

“Everyone connected so well!”

“Such a safe environment created by the tutors to learn and share. Their presence, clarity and kindness were fantastic – everyone felt accommodated.”

CPD Scheme

CPD Scheme

How this course maps to the GOsC CPD Scheme

On completion of this course you should be able to:
To achieve the learning outcome you must demonstrate the ability to:
1 The student should be able to describe the anatomy of the dura mater and discuss its functional significance including reference to the lymphatic system. Articulate, analyse and interpret examination findings with reference to the dura mater in a practical setting and show that they can offer an informed explanation of the functional significance of their findings.
2 The student should be able to demonstrate and articulate palpatory and therapeutic skills helpful in improving their sensory awareness during their interactions with patients. Apply diagnostic/interpretive osteopathic skills in a practical setting. To reflect-in- action during a therapeutic encounter using self-correction when their practical approach needs to be modified according to the response of the patients’ tissues.
3 The student should be able to apply the concept of reciprocal tension to different systems across the body. The student should be able to express an understanding of the concept of Reciprocal Tension and make the case for its application to multiple systems in both a theoretical and practical setting.
4 Manage patients and monitor outcomes in a manner that is responsive to the complex and dynamic needs of the patient over time and ensures best care. Construct, implement and monitor osteopathic management plans for your patients and adapt them in response to clinical evidence and patient needs over time.
Type of Learning Learning Activity NLH*
Scheduled Learning Hours Lectures 6
Practical classes 12
Scheduled online activities
Guided Learning Directed reading & research 4
Reflective portfolio development
Peer assisted learning
Independent Learning Unguided reading from defined reading list
Assessment preparation (optional case study) (12)
Tutor defined project / Dissertation activity
Autonomous Learning Reading from non-specific sources
Reflection on clinical experiences 2
Placement Clinical observations

* Notional Learning Hours

OPS Theme OPS Mapping
1 2 3 4
Communication & Patient Partnership
Knowledge, Skill & Performance
Safety & Quality in Practice
CPD Standards
CPD activities are relevant to the full range of osteopathic practice See above mapping exercise
Objective activities have contributed to practice Peer review/Observation
Case-based discussion activity
Seek to ensure that CPD activities benefit patients Communication/Consent activity
Maintain CPD documentation Certificate of attendance/Overview document provided to student