P-DTR® is an advanced therapeutic approach developed by Dr. José Palomar.
It is grounded in a detailed understanding of neurology, anatomy, physiology, and orthopaedics.
This approach focuses on how the central nervous system interprets sensory information and coordinates movement under normal conditions — and how those signals can become distorted following injury, repetitive strain, poor posture, or prolonged exposure to physical stress.
When these signals are altered, the body may compensate in ways that contribute to pain, dysfunction, or inefficient movement patterns.
What Is P-DTR®?
P-DTR® focuses on identifying and correcting dysfunctional neurological signaling within the central nervous system.
Rather than treating symptoms alone, this approach examines how the brain and nervous system are processing information related to movement, posture, and muscle activation. Distorted signals can interfere with normal motor control and protective reflexes.
P-DTR® aims to locate these altered signals and support the restoration of normal communication pathways, allowing the body to function more efficiently.
How P-DTR® Works
P-DTR® involves precise assessment techniques designed to identify abnormal reflex activity and sensory input affecting movement and muscle function.
Once dysfunctional pathways are identified, targeted therapeutic techniques are used to help normalize nervous system responses. The goal is to reduce inappropriate protective reflexes and support improved neuromotor control.
This process is based on neurological principles and applied within the scope of physiotherapy practice.
When P-DTR® May Be Used
P-DTR® may be considered for individuals experiencing:
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Persistent or recurrent pain
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Movement dysfunction not fully resolving with conventional approaches
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Postural or compensatory movement patterns
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Neuromuscular coordination issues
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Ongoing symptoms following injury or repetitive stress
This technique is selected based on clinical assessment and integrated into a broader physiotherapy treatment plan.
How It Fits Into Physiotherapy Care
At MSB Mobility Clinic, P-DTR® is not used as a standalone treatment.
It is combined with physiotherapy assessment, manual therapy, movement retraining, and education to support functional recovery and improved movement quality.
Treatment is individualized and adjusted based on response and reassessment findings.
What to Expect
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A detailed assessment of movement and neuromuscular function
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Identification of altered reflex or sensory responses
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Targeted treatment aimed at normalizing nervous system signaling
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Clear explanation of findings and treatment rationale
All care is delivered by a registered physiotherapist and guided by professional standards and clinical judgment.
Taking the Next Step
If pain or movement challenges may be influenced by altered nervous system signaling, a physiotherapy assessment is the first step in determining whether P-DTR® may be appropriate.