P-DTR, taught
Dr. Atiakshev co-teaches 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. Usable in your own clinic after seminar one.
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
Stop chasing symptoms and start finding drivers. Work from principle, not protocol.
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
Practical neurology
- 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. Dr. Atiakshev has taught with P-DTR Global since 2023, trained directly under the method's founder, Dr. José Palomar. Price range depends on cohort and format - see the Foundation course overview for enrollment details.
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)
Price varies by format - see the Introduction to P-DTR overview for cohort details.
Train with
Dr. Atiakshev
Cohorts are kept small so the hands-on work stays close. 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.