Higher Diploma in Neuromuscular Therapy

Learn with world-class experts.

Advanced world class education and expertise in myofascial pain and injury centred around the model of Biotensegrity. This course only runs once every two and a half years.


About our Higher Diploma in Neuromuscular Therapy

  • Dublin
  • Blended Learning
  • Weekends
  • 30 Months

The NTC’s Higher Diploma in Neuromuscular Therapy, with a focus on Biotensegrity, encompasses all necessary areas to certify you as an advanced pain and injury specialist.

This course is ideal for bodywork professionals seeking to advance their already successful careers. It is an exceptional course that provides advanced clinical skills and knowledge, centered on the Biotensegrity model.

Renowned tutors, including Joanne Avison, John Sharkey, Professor Carol M. Davis, Kevin Prunty, David Anderson, Jan Trewartha, Michelle O’Melia, and Dr. Wilbour Kelsick, alongside international guest lecturers who are world experts in their field, will provide instruction.

The course is designed for professionals who wish to develop their clinical knowledge and skills, particularly those who treat patients with chronic soft tissue pain, muscle, and nerve pain.

The course structure enables learners to interact comfortably with tutors, maximising the learning experience. The student NTC Learning Portal provides access to video tutorials that students can watch multiple times until they have perfected their skills or fully grasped the theory.

This course is suitable for those who are dedicated to establishing or advancing a long-term career in neuromuscular therapy in Ireland or overseas. The Biotensegrity model supports advanced knowledge and skills, ensuring successful treatment of chronic pain.

The Higher Diploma course underwent an extensive program review in 2015 and 2018, leading to exciting changes and additions. In 2020, the course was reviewed again, with the introduction of online content, providing the opportunity for blended learning, including live lectures, cutting-edge technology, and required on-site tutorial weekends.

Students have access to webinars and videos, which they can watch at their own convenience, on their tablet, smartphone, or other devices.

This course offers the opportunity to learn from world-recognised leaders and discard outdated notions, gain an appreciation for the latest accepted models and theories, and develop new insights that will provide fresh perspectives in clinical reasoning and activity.

Upon completion of the course, learners will possess a vast reservoir of strategic thinking, which they can immediately apply as contingencies demand.

NTC introduced Structural Integration to Ireland as a formal module of the Higher Diploma course. The Art of Structural Integrity is a series of lessons that integrate seeing and assessment skills with advanced whole-body soft tissue manipulation techniques.

The course specifically focuses on the body-wide architecture within the context of Biotensegrity, integrated at every level of fascia, form, and functional movement, as a whole. Techniques include integrated client motion and specific depth adjustment with client movement techniques to enhance self-regulation.

European Neuromuscular Therapy students will also be exposed to American influences, including Neuromuscular techniques, providing students with a toolbox of techniques suitable for multiple pain management scenarios.

Close-up video recording of the hands-on aspects is provided for large-screen viewing during each class. Additionally, students can access a library of current and previous videos through the NTC Student Learning Portal at any time during the course

What our gradutes say!

Some unsolicited testimonials from our graduates from over the years.
" Highly recommended! "

Great course, Great Tutors, Every weekend took my skills and understanding to a whole new level, my clients and the athletes I work with have all felt the benefits, Highly recommended!

Bon Sheekey
Higher Diploma NMT Graduate
" You will not be disappointed "

I have been in the Sports Massage and the treatment of occupational and sporting injuries profession for 26 years and have attended many courses to gain the necessary qualifications to give my very best to those in my care. I had read a book written by John Sharkey which was well written, extremely informative and an excellent reference source. I subsequently had the pleasure of meeting John and went on to register for a Neuromuscular Therapy programme.

It is an excellent course with lectures of the highest standard delivering essential information and first-rate techniques. Applying them in clinical practice I have seen very positive outcomes in patients of all ages. I highly recommend NTC for all therapists at any stage in their career. You will not be disappointed.

Steve Kirby
Neuromuscular Therapy Graduate
" I will definitely recommend this course to a friend or a family member "

Thank you to John Sharkey and all the NTC tutors. The Advanced European Neuromuscular Therapy course has been an eye-opener for me because of my background in Personal Training and Sports Massage. I have learnt unique ways of treating pain and have been applying these techniques to my existing clients.

In particular, a long-term client of mine with knee chronic pain, after few hours of treatment her knee pain has reduced by 80 percent.

Once again thank you to all NTC tutors this would not have been possible without you. It is a shame the course has come to an end but I also can’t wait to treat people with chronic pain and do a diploma in Neuromuscular Therapy. I will definitely recommend this course to a friend or a family member.

Ismail Sina
Neuromuscular Therapy Graduate
" The education you have given me is truly going to develop me as a practitioner "

Thanks once again for an inspiring and enlightening weekend (although my wife’s upper trapezius muscles may disagree!). Learnt loads and I am very excited about the future of my practice.

Although already incredibly busy I find treating people with pain much more interesting and fulfilling than a runner with a tweaked calf. The education you have given me is truly going to develop me as a practitioner in such a dramatic way.

Thanks, John. Sad the course is coming to an end but will thoroughly recommend to others and will look to do the Masters in the future.

Rob Date
Neuromuscular Therapy Graduate

Schedule and Locations

Booking Unavailable
National Training Centre, Dublin 7
Weekend Course
Date To Be Confirmed

Full details for the Higher Diploma in Neuromuscular Therapy Course

Get all the information about our Higher Diploma NMT Course. (Remember there's even more info in the FAQ section below).


Initially authored by John Sharkey, MSc, and Leon Chaitow, DO, NTC’s Higher Diploma in Neuromuscular Therapy was first introduced in 2003. Over the years, the program has undergone several reviews, incorporating the latest research and advancements in the field of bodywork.

The course is committed to preserving the spirit and essence of Leon Chaitow’s work, ensuring that his legacy is passed on to the next generation of neuromuscular therapists.

Used with permission from the Chaitow family.

NTC recognises the importance of staying current with the latest research and techniques to ensure that students receive a well-rounded education in the field. The programme’s constant evolution and attention to cutting-edge research have helped it become a highly respected and sought-after course for bodywork professionals.

As a result of the program’s success, it has attracted many world-renowned tutors and international guest lecturers recognized as experts in their field.

The course is designed to provide advanced knowledge and clinical skills, with a particular focus on the Biotensegrity model. Students who complete the course will have the skills and expertise required to offer advanced intervention procedures for patients with chronic soft tissue pain, muscle, and nerve pain.

The program is carefully designed to maximise interaction between tutors and learners in a friendly and non-intimidating atmosphere. Students have access to an incredible student learning portal where they can watch video tutorials as often as they like, allowing them to perfect their skills or gain a deeper understanding of the theory.

The course’s success is a testament to the National Training Centre’s dedication to providing an exceptional education and staying current with the latest research and techniques in the field. The NTC’s Higher Diploma in Neuromuscular Therapy is an excellent choice for bodywork professionals seeking to advance their clinical knowledge and skills and cement a successful career in this specialist field.


The Higher Diploma in Neuromuscular Therapy is an advanced complementary medical educational (CME) course involving sports massage and soft tissue manipulation techniques based on the model of Biotensegrity including:

  • Advanced functional anatomy based on BioTensegrity and Four Bar Kinematics
  • Pathophysiology of chronic pain
  • Arthrokinematics – A new explanation of human movement
  • Cranial manipulation and Intra-oral tissue release for effective treatment of chronic pain problems including:
    • head / neck pain
    • dizziness (Vertigo)
    • Otalgia (ear pain)
    • impaired hearing
    • change of sensations in the ear
    • double or blurred vision
    • jaw joint noises
    • sinus pain
    • migraines and headaches
  • TMJ Treatment – effective interventions for TMJ pain and associated symptoms including ear fullness / pressure, ear pain, tinnitus, dizziness, and hyperacusis
  • Spinal Mobilisation (using mobilisation with movement (MWM)- passive mobilisation with additional active movement
  • Breathing patterns disorders and chronic pelvic pain
  • The Art of Structural integrity to include:
    • Biotensegrity
    • the art of seeing
    • structural isolation versus structural integration
  • The superficial and deep architecture and the Four Series Protocol
  • Advanced management of fascial dysfunction
  • Rehabilitation Sequencing – neurodynamic stabilisation and efficiency
  • Laws of European Neuromuscular Therapy™ and their implications in effective NMT interventions
  • Medical Exercise Science – exploring the science of safe, effective and appropriate physical activities to restore neuromuscular efficiency and chronic pain resolutions
  • Advanced neurodynamic stress assessment and ENMT resolutions to restore normal nerve function
  • Fascia, skin and myokinetic chains and links
  • The science and clinical applications of Neuromuscular Techniques – European and American influences
  • Nutrition and biochemical factors that positively influence or help manage chronic pain and dysfunction
  • Tensegrity informed treatment for scars and adhesions


The educational investment for obtaining the Higher Diploma in Neuromuscular Therapy course is €8,470.00.

Fees can be paid by means of a deposit of €970.00 with the balance via thirty monthly instalments of €250.00 each.

A total discount of €900.00 is available when you pay full fees of €7,570.00 (either a single payment or deposit plus balance) on or before the course start date.

Places are available on a first come first served basis and are limited in number.


The Higher Diploma in Neuromuscular Therapy programme is exclusively available to qualified bodywork therapists. Qualifying individuals include:

  • Doctors
  • Dentists
  • Rolfers
  • Osteopaths
  • Occupational Therapists
  • Certificate Level Neuromuscular Therapists
  • Orthopaedic Sports Massage Therapists
  • Physiotherapists
  • Chiropractors

All applications are considered on an individual basis.

Current certificate level Neuromuscular Therapy students are encouraged to apply for a place on the next Higher Diploma in Neuromuscular Therapy programme. Please note that the Higher Diploma will only be issued once students have successfully completed the Certificate level course and have obtained the National Qualification in Neuromuscular Therapy.


The Higher Diploma in Neuromuscular Therapy utilises close up video recording of the hands-on aspects for large screen viewing during each class with online access to a library of current and previous videos (sample below) through the NTC student Learning Portal at any time during the course.

Meet The Team

The Higher Diploma in Neuromuscular Therapy is delivered by an internationally renowned team of bodywork experts.

Frequently Asked Questions

The National Training Centre have been delivering respected educational programmes since 1985 and during that time we have had many questions asked by potential students before registration. Here you can find the answers to the questions we receive most often.

Yes. The course is exclusively available to qualified bodywork therapists including:

  • Doctors
  • Dentists
  • Rolfers
  • Osteopaths
  • Occupational Therapists
  • Certificate Level Neuromuscular Therapists
  • Orthopaedic Sports Massage Therapists
  • Physiotherapists
  • Chiropractors

All applications will be considered on an individual basis.

Students of the Higher Diploma course are recognised as advanced practitioners with a wide knowledge of advanced clinical applications for a variety of soft tissue assessment and manipulation techniques.

These are incorporated into a focus on myofascial pain, advanced myofascial trigger point syndromes and general musculoskeletal problems.

Successful completion opens a wide range of additional opportunities.

Graduates will be the first point of call for referral from certificate level therapists and general medical practitioners, whose patients will report back on the success of their therapeutic interventions.

Until recently many of those suffering a wide variety of painful conditions had no where to turn for realistic and practical non surgical intervention. As an advanced Neuromuscular Therapist you will have the unique skills of cranial manipulation, intra-oral tissue release, and advanced hands on skills for the effective resolution of these painful conditions.

Neuromuscular Therapists (NMTs) are experts in the area of Myofascial Trigger Point treatment and combine neuromuscular reactive training for appropriate rehabilitation of injured tissues and the treatment of myofascial trigger points.

Most advanced neuromuscular therapists operate in a self employed capacity either as sole traders, as part of a multi-disciplinary clinical team, or with a variety of sporting teams with many people increasingly looking beyond traditional medical disciplines for solutions to their health and injury problems.

As neuromuscular therapy™ is science based, its appeal is broad.

Graduates of the Higher Diploma course often work within multi-disciplinary injury clinics where therapists such as chiropractors, osteopaths, physiotherapists, neuromuscular therapists etc. offer a variety of pain and injury solutions.

This multi-disciplinary model normally consists of a great deal of cross referral between therapists depending on their individual areas of expertise.

Graduates can communicate on an advanced level and establish a G.P. referral scheme in conjunction with a local medical practitioner.

Graduates who hold an existing medical qualification may be able to combine advanced neuromuscular therapy™ with their existing skill set within the hospital environment.

The recommended fee for each 45 minute advanced treatment session is a minimum of €80.00.

The number of sessions you decide to complete each week will be determined by your own commitment and the results you achieve.

Yes – Fees can be paid by means of a deposit and the balance via twenty four monthly installments.

The facility to pay by installment is not a ‘Pay As You Go’ facility. The installment facility is intended to allow students to spread the payment of course fees over a specified time period. At the time of enrollment the student accepts that all of the course fees must be paid whether they complete the course or not.

Details of deposit amounts, installments, discounts, etc. can be found at ‘Fees’ above.

Students of the National Training Centre regularly receive part funding through the Department of Social Protection’s Technical Employment Support Grant (TESG) scheme.

Individual students will need to contact their Local Employment Services (LES) facilitator to establish their eligibility.

For those who hold a recognised fitness instructor qualification which is recognised by REPs Ireland are eligible for up to 25% funding through the Leisure Health Fitness Skillnet. For more information contact Leisure Health Fitness Skillnet.


For assistance please contact the NTC office of administration on 01 882 7777.

The Higher Diploma course runs over an approximate two and a half year period.

The Higher Diploma in Neuromuscular Therapy™ course is available at the National Training Centre in Dublin.

Assessment is carried out through both written and practical examination at the end of the course plus continual assessment throughout the programme via a Learner Workbook which contains specified tasks which must be submitted at various dates throughout the course.

The National Training Centre’s code of ethics requires that all NTC graduates who are actively working with the public, hold a professional indemnity insurance policy which covers them against legal action taken by a client as a result of an injury which was received by following the graduate’s professional advice. Graduates who are working on private premises may also need to hold public liability insurance if such cover is not held by the owners of the premises.

The National Training Centre have a customised insurance scheme with discounted rates available exclusively to those who have qualified with NTC. The policy is one of the broadest available including many important features that other policies may not offer.

The policy has been arranged through Balens Ltd and the insurer for the scheme is the Zurich and DAS Legal Expenses.

Balens are a very well established, fourth generation family-run business dedicated to looking after health professionals. They are built on solid roots going back to 1950 and are pioneers in the development of top quality cover for all types of health professionals with special rates and industry leading cover that has been developing and improving over 22 years in this speciality.

The scheme will cover thousands of other therapies/activities you may require cover for and many at no extra premium subject to suitable qualification held.

Some of the features covered in the policy consist of Medical Malpractice, Professional Indemnity, Public Liability, Product Liability, Loss of Reputation, Breach of Intellectual Property, Client Confidentiality Protection, Loss of Documents cover, First Aid cover as well as Good Samaritan Acts.

The indemnity limit is €4,000,000 per claim for the Republic of Ireland.

Unlike some other policies on the market, an unlimited number of claims may be made for any year and unlimited legal defence costs are also included.

Also included, at no extra charge, is retroactive cover to pick up any previous insured work.

Temporary cover abroad (excluding USA/Canada which is available on request) is available with no time restrictions and at no additional premium as long as you are a UK/Ireland resident.

If you cease to practice Balens include unlimited run off cover which means the policy will always be in place if a claim was made after you stop the policy running and this is also free of charge.

For further information or proposal form, please contact Balens directly on 00441684 580771 or e-mail- [email protected]

See who you can be!

© 2024 All rights reserved. National Training Centre, 15-16 Saint Joseph’s Parade, Dorset Street, Dublin 7, D07 F6CR. | Telephone: 01 882 7777 | Email: [email protected] | Company Registration: 184246
Designed and maintained with ❤️ by NTC