Terrance Stackwood, DC

MRI interpretation of bone, intradural, extradural, cord and neural sleeve lesions. Tuberculosis, drop lesions, metastasis, ependymoma, schwanoma and numerous other spinal related tumors and lesions. California Board of Chiropractic Examiners

MRI interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies in etiology and neurological sequellae in relationship to the spinal cord and spinal nerve roots. California Board of Chiropractic Examiners

Magnetic fields, T1 and T2 relaxations, nuclear spins, phase encoding, spin echo, T1 and T2 contrast, magnetic properties of metals and the historical perspective of the creation of NMR and MRI. CA18652/HI461

Normal anatomy of axial and sagittal views utilizing T1, T2, 3D gradient and STIR sequences of imaging. Standardized and desired protocols in views and sequencing of MRI examination to create an accurate diagnosis in MRI. CA18652/HI461

MRI interpretation sequencing of the cervical, thoracic and lumbar spine inclusive of T1, T2, STIR and 3D gradient studies to ensure the accurate diagnosis of the region visualized. New York Chiropractic Council, California Board of Chiropractic Examiners

The clinical application of the results of space occupying lesions. Disc and tumor pathologies and the clinical indications of manual and adjustive therapies in the patient with spinal nerve root and spinal cord insult as sequellae. California Board of Chiropractic Examiners.

MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images. Clinical indication for the utilization of MRI and pathologies of disc in both trauma and non-trauma sequellae, including bulge, herniation, protrusion, extrusion and sequestration. California Board of Chiropractic Examiners

MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Spinal cord and canal compromise interpretation with management. California Board of Chiropractic Examiners.

MRI Interpretation of Lumbar Herniations, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Central canal and cauda equina compromise interpretation with management. California Board of Chiropractic Examiners.

MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar degeneration. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Spinal cord and canal compromise interpretation with management. California Board of Chiropractic Examiners

MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of degenerative spondylolesthesis, spinal canal stenosis, Modic type 3 changes, central herniations, extrusions, compressions, nerve root compressions, advanced spurring and thecal sac involvement from an orthopedic, emergency room, chiropractic, neurological, neurosurgical, physical medicine perspective. California Board of Medical Examiners.

An in-depth understanding of the protocols in triaging and reporting the clinical findings of the trauma patient. Maintaining ethical relationships with the medical-legal community. California Board of Chiropractic Examiners

An extensive understanding of the injured with clinically coordinating the history, physical findings and when to integrate neurodiagnostics. An understanding on how to utilize emergency room records in creating an accurate diagnosis and the significance of “risk factors” in spinal injury. California Board of Chiropractic Examiners

An extensive understanding of the physics involved in the transference of energy from the bullet car to the target car. This includes G's of force, newtons, gravity, energy, skid marks, crumple zones, spring factors, event data recorder and the graphing of the movement of the vehicle before, during and after the crash. Determining the clinical correlation of forces and bodily injury. California Board of Chiropractic Examiners

MRI interpretation, physiology, history and clinical indications, bone scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient. California Board of Chiropractic Examiners

Electromyography (EMG), Nerve Conduction Velocity (NCV), Somato Sensory Evoked Potential (SSEP), Visual Evoked Potential (VEP), Brain Stem Auditory Evoked Potential (BAER) and Visual-Electronystagmosgraphy (V-ENG) interpretation, protocols and clinical indications for the trauma patient. California Board of Chiropractic Examiners

Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-9 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare. California Board of Chiropractic Examiners

Clinical neuroanatomy of spinal mechanoreception and chronic spine pain. Relating chronic spine pain to weight bearing spinal mechanoreception. How chiropractic adjustments affect mechanoreceptor function. Spinal cord laminar reflexes as related to visceral and somatic function. Spinal mechanoreceptor driven vestibular nuclei control of somatic function. Spinal mechanoreceptor driven by hypothalamic and vestibular nucli controls of visceral function. Neurological goals and techniques of the chiropractic adjustment at the spinal cord and supraspinal levels.

1. Current models of joint dysfunction, nerve interference, disturbed autonomic function, back pain, abnormal restrictive barriers: Understand the neurology of the back, the causes of back pain, somatic referred pain & radicular pain. Understand the current concepts of nerve interference: altered afferent & motor patterns, proprioception, kinesthetic perception, fine motor tuning, & joint stability. 2. The use of valid, reliable and responsive outcome measures to document appropriateness and efficacy of chiropractic care: Understand, document & quantify physical impairment, disability, pain intensity. Improve record keeping & documentation of patient responsiveness & eliminate disputes about the effectiveness & reimbursability of care. Quantify the need for supportive care. Learn to use the Mercy Guidelines to substantiate your treatment plan & document the need for prolonged care in complicated cases. 3. The latest research by health economists on cost-effectiveness: Understand the current literature, be able to explain the studies demonstrating chiropractic is less expensive, yet more effective than medicine for the same diagnoses. Document the cost-effectiveness of chiropractic in terms of workers compensation studies, reduction of disability, chronicity & time loss from work. 4. The latest scientific evidence on chiropractic effectiveness, restoration of function, pain relief, and patient satisfaction: Understand the new paradigms of health care research & be able to explain why restoration of function must occur at the same time as pain relief. Understand the limitations of the medical diagnostic model. Be able to explain the goals of health care as restoration of function & general health & the evidence that strongly supports the chiropractic wellness model. Be able to explain how chiropractic may improve athletic ability, increase optimal performance & reduce the likelihood of reinjury. 5. Tissue injury, repair and the role of Chiropractic care. Understand the: Stages of healing Goals of chiropractic care & management of each stage Effects of movement on scar tissue deposition Rehabilitation & restoration of function Passive care & active care 6. Beneficial effects of adjustments. Understand and be able to explain the: Effects on proprioception Effects on muscle tone & muscle balance Effects on gating mechanisms & pain relief Effects on athletic ability E. Restoration of normal biomechanical function Effects on discal & cartilage nutrition Effects on the autonomic nervous system Effects on connective tissue & acceleration of healing 7. Educating patients, attorneys, judges, jurors, medical doctors: Understand & explain acute & chronic conditions & the role of chiropractic care Be able to explain the benefits & goals of chiropractic care to patients, medical doctors, insurance companies Educate medical doctors & learn how to markedly increase patient referrals from them Increase patient compliance, referrals & improve outcomes

Presented by Dr. Frank E. Liberti, D.C. of Medical Management Consultants, Inc. 1998 Masters Certification in Performing AMA Permanent Medical Impairment Examinations

Dr. Murphy

Medical Integration: general medicine, neurology, physicality, orthopedic care Musculoskeletal: chiropractic, physiotherapy, massage therapy Rehabilitation: physical therapy, physical medicine, occupational therapy... Diagnostics: EMG, NCV, EEG, SSEP, SEMG... Ancillary services: blood work, Ordering: MRI, CT's, Out-patient: medical referral, medical network.

The components of frozen shoulder; pathophysiology, chemical mediation, epidemiology, etiology including hormonal, auto-immune, genetic and postural and clinical phases. Case history taking, clinical testing, differential diagnosis, and treatment for a range of shoulder complaints. The course is restricted to qualified practitioners associated with a registered body.

Cervical spine positioning, technique and interpretation.

Musculoskeletal abnormalities, soft tissues and biomechanical faults.

Accident Reconstruction: Terms, Concepts and Definitions, The forces in physics that prevail in accidents to cause bodily injury. Quantifying the force coefficients of vehicle mass and force vectors that can be translated to the occupant and subsequently cause serious injury. California Board of Chiropractic Examiners.

Accident Reconstruction: Causality, Bodily Injury, Negative Acceleration Forces, Crumple Zones and Critical Documentation, Factors that cause negative acceleration to zero and the subsequent forces created for the vehicle that get translated to the occupant. Understanding critical documentation of hospitals, ambulance reports, doctors and the legal profession in reconstructing an accident. The California Board of Chiropractic Examiners, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012

ccident Reconstruction: Skid Marks, Time, Distance, Velocity, Speed Formulas and Road Surfaces, The mathematical calculations necessary utilizing time, distance, speed, coefficients of friction and acceleration in reconstructing an accident. The application of the critical documentation acquired from an accident site. The California Board of Chiropractic Examiners, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012

Accident Reconstruction: Research, Causality and Bodily Injury, Delta V issues correlated to injury and mortality, side impact crashes and severity of injuries, event data recorder reports correlated to injury, frontal impact kinematics, crash injury metrics with many variables and inquiries related to head restraints. The California Board of Chiropractic Examiners.

Anatomy, biomechanics, MR, CT, X-ray and treatment options.

Common spine degenerative disorders, their presentation, clinical diagnosis and imaging findings.

Management Principles and Personal Injury and Forensic Documentation Whiplash Injury Biomechanics and Traumatology Principles of Impairment Rating and Forensic Reporting Medicolegal Fundamentals for Practitioners and Forensic Experts.

Testimony, court appearances and preparation.

Spinal trauma; images and information.

The atypical anatomy and variants on cervical x-rays that can mimic trauma.

The most common darkroom errors in radiography that creates unacceptable films.

Etiology, clinical presentation, common locations, diagnosis and imaging of stress injuries in the skeleton.