Chris Gubbels, DC

ScoliCare's advanced physiotherapeutic scoliosis specific exercise program used to treat scoliosis and hyperkyphosis.

Updates in advances in research and treatment for scoliosis, kyphosis and spine deformities.

Review of research and advances in the evaluation, management and treatment of scoliosis and spine deformities.

A review of traumatic injuries to the spine including: management of injuries, treatment options, research updates and documenting spinal injuries.

Update on spine corrective care research including: Evaluation, management, & treatment of spine related issues.

ScoliCare's physiotherapeutic scoliosis specific exercise program used to treat scoliosis and hyperkyphosis.

Review of recent research spinal biomechanics with special presentation on advances in orthobiologics, personal injury and spinal trauma, the science of cannabinoids.

Management and documentation of motor vehicle injuries. Orthopedic, neurological and cranial nerve testing.

Practical use of the AMA Guides and impairment ratings including: upper extremity, lower extremity, central nervous system and psychiatric impairment ratings.

20 complex case studies on the practical use of the AMA Guides 5th edition.

Cartesian System, The Cartesian Coordinate System from the history to the application in the human body. Explanation of the x, y and z axes in both translation and rotations (thetas) and how they are applicable to human biomechanics.

Spinal Biomechanical Engineering: Cervical Pathobiomechanics, Spinal biomechanical engineering of the cervical and upper thoracic spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine.

Spinal biomechanical engineering of the lumbar spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine.

Evaluation of whiplash associated disorders in various vectors of impact and whiplash mechanisms in determining pathobiomechanics. To clinically correlate annular tears, disc herniations, fractures, ligament pathology and spinal segmental instability as sequellae to pathobiomechanics from trauma. The utilization of digital motion x-ray in diagnoising normal versus abnormal facet motion along with case studies to understand the clinical application.

Integrating spinal biomechanics and pathobiomechanics through digitized analysis.The comparison of organized versus disorganized compensation with regional and global compensation. Correlation of the vestibular, occular and proprioceptive neurological integration in the righting reflex as evidenced in imaging. Digital and numerical algorithm in analyzing a spine.

Digitizing and analyzing the cervical spine in neutral, flexion and extension views to diagnose pathobiomechanics. This includes alteration of motion segment integrity (AMOSI) in both angular and translational movement. Ligament instability/failure/pathology are identified all using numerical values and models. Review of case studies to analyze pathobiomechanics using a computerized/numerical algorithm.

Digitalizing and analyzing the lumbar spine images to diagnose pathobiomechanics. This includes anterior and posterior vertebral body elements in rotatioal analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models. Review of case studies for analysis of pathobiomechanics using a computerized/numerical algorithm along with corrective guidelines.

Digitalizing and analyzing the full spine images to diagnose pathobiomechanics as sequellae to trauma in relation to ligamentous failure and disc and vertebral pathology as sequellae. This includes anterior and posterior vertebral body elements in rotatioal analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models. Review of case studies for analysis of pathobiomechanics using a computerized/numerical algorithm along with corrective guidelines.

Triaging the injured and differentially diagnosing both the primary and secondary complaints. Connective tissue injuries and wound repair morphology focusing on the aberrant tissue replacement and permanency prognosis potential.

Spinal ligamentous anatomy and research focusing on wound repair, future negative sequelae of abnormal tissue replacement and the resultant aberrant kinematics and spinal biomechanics of the spine.

The application of spinal biomechanical engineering models in trauma and the negative sequelae it has on the central nervous system inclusive of the lateral horn, periaqueductal gray matter, thalamus and cortices involvement.

The biomechanics of traumatic disc bulges as sequella from trauma and the comorbidity of ligamentous pathology. Age-dating spinal disc pathology in accordance with Wolff’s Law.

The review of case histories of mechanical spine pathology and biomechanical failures inclusive of case histories, clinical findings and x-ray and advanced imaging studies. Assessing comorbidities in the triage and prognosis of the injured.

The review of current literature standards in spinal trauma pathology and documentation review of biomechanical failure, ligamentous failure and age-dating disc pathology.

A detailed overview of the traumatic injuries of brain, spinal cord, TMJ and extremities. Identification of signs and symptoms of TBI's and possible spinal cord injuries and proper diagnosis, documentation and treatment.

A detailed overview of traumatic injuries and the application of clinical knowledge in the evaluation, management and documentation of patient's injuries secondary to motor vehicle crash injuries.

A detailed overview of the traumatic injuries of the upper cervical spine, including proper imaging and documentation to improve clinical outcomes.

A detailed overview of the traumatic injuries of the cervical, thoracic and lumbar-pelvic spine including ligamentous injury, disc injury, facet injury, etc. that occur from motor vehicle collisions.

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.

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

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.

MRI interpretation, physiology, history and clinical indications, bone scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient.

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.

Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-10 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare.

Understanding the necessity for accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiopathology, myopathology, neuropathology, and pathophysiology in both a functional and structural paradigm.

Understanding of the SEAS approach to scoliosis including clinical and postural evaluation of the scoliosis patient. Understanding of how self correction is performed in thoracic, thoracolumbar, lumbar, double curve and kyperkphosis. Understanding the role of exercise within SEAS approach to scoliosis and the role of exercises in different treatment phases of scoliosis.

Full spine analysis using motion palpation assessment. Full spine adjusting using motion palpation techniques.

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.

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.

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

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.

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.

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 sequelae.

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.

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. Central canal and cauda equina compromise interpretation with management.

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.

MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of cervical 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.

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.

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.

Spine displacements and deformities in systematic health and disease, discussion of x-ray recommendations, common injuries caused by car crashes, translational research in spine neuromechanics and new research on bracing for scoliosis and thoracic kyphosis deformities.

Annual review of research related to spine biomechanics, CAD injuries, spine pathologies and auto accident reconstruction.

Principle and practice of scoliosis conservative treatment with the faculty members who are considered the most recognized experts in the field world wide. Advanced training in the etiology, pathogenesis, diagnosis, management and conservative treatment of scoliosis and spine deformities.

Review of literation on: Spinal displacements and deformities in systemic health and disease, hyperkyphosis, low radiation effects on humans and organism and scoliosis and thoracic deformities. CBP research publication and case study reviews.

Comprehensive biomechanics knowledge for forensic experts, the mechanics of whiplash traumas and brain injuries, the myth of minimal property damage = minimal injury risk, in-depth analysis of brain, neck and cervical spine trauma mechanics. A comprehensive and cutting edge analysis of soft tissue injuries, clinical syndromes and conditions resulting form whiplash (WAS/CAD), what forensic experts need to know about various pain syndromes and injury risk assessments.

Critical documentation from Day 1: What every personal injury and forensic expert needs to know. Narrative report preparation including using outcomes assessments and disability instruments in reports. The application of AMA guidelines, modern guidelines for best practices.

In-depth training on all aspects of management of trauma, from beginning to end; a comprehensive primer on crash reconstruction. Auto crash reconstruction in low speed crash, documentation in personal injury and forensic applications, physical exams of whiplash and MTBI. Diagnostic evaluation for soft tissue injuries using: Radiographs, CT, MRI, SPECT, PET, fMRI, MRA & VF. Electrodiagnostics: EMG, sEMG, SSEP and VEP. Soft tissue healing and case management.

The science and art of understanding, evaluating and management of scoliotic deformities in adolescents and adults. The link between genetic triggers, biomechanical growth modulation, environmental risk and age development. Conservative management of scoliotic deformities including flexible and rigid bracing concepts and rehabilitative procedures. Details of case management using conservative bracing adjusting and rehabilitative methods.

Pediatric disorders and adjusting. Normal developmental anatomy of the child. Examination methods for proper assessment of vertebral subluxation and abnormal development for the pediatric patient. Normal and abnormal evolution of the pediatric sagittal plane spinal curves. Postural and spinal evaluation of the newborn through adolescence. Case management using CBP instrument, drop table and other structural rehabilitation methods.

The science and art of spine, posture, and lower extremity biomechanics and health disorders. Physiological loads and their resultant stress and strain patterns. Vertebral kinematics will be discussed and applied to postural alterations in normal and abnormal spine behavior. Central nervous system biomechanics relative to neuro-phsiological consequences.

Analysis and management of patients injured in motor vehicle collisions. Biomechanical, neuro-physiological, and epidemiologic aspects of whiplash injuries. Understanding/differentiating subtle and complex ligament injuries of the cervical spine. Litigation and documentation of whiplash injuries and review of the International Chiropractic Associations Best Practice and Whiplash Injury Guidelines. Review of research supporting the utilization and efficacy of a variety of Chiropractic examination/documentation procedures, and treatment techniques across motor vehicle injury populations.

Understanding, evaluating and management of scoliotic deformities in adolescents and adults. Link between genetic triggers, biomechanical growth modulation, environmental risk and age development in relation to scoliotic development. Categories of scoliosis and risk factors for progression in both adolescent and adults. Management and when to refer the patient for surgical consultation. Details of conservative management of scoliotic deformities.

Detailed literature reviews covering the sagittal plane of the spine during pediatric development though age related change occurring in senior populations. Understanding how alterations in one region of the spine can influence regions above or below. Pelvic morphology and how variations and anomalies of pelvic morphology alter the sagittal plan alignment of the spine. How common anomalies affect the sagittal plan alignment of the spine. Detailed case management and research review.

Biomechanics and neuro-physiology of posture deformities as they relate to system health. Detailed neuro-physiology of the central and peripheral nervous system.

Review of research on biomechanics, rehabilitation of sagittal spine alignment and scoliosis treatment in adult populations. Case study review on the implementation of Chiropractic BioPhysics in structural spine correction.

Anatomy of the TMJD, mechanics & deviations of the TMJ, priorities of treatment, hands on adjusting experience, rehabilitation and treatment exercises, and working the oral health care providers.

Integrated education on postural and spinal distortions of the thoracic spine including normal values for the sagittal plane thoracic kyphosis with literature and age related changes of the thoracic spine reviewed. Understanding the role of thoracic spine disorders and subluxations in patient health and disease. Rehabilitative treatment techniques for thoracic, lumbar and cervical subluxation.

Pediatric disorders and adjusting. Normal developmental anatomy of the child. Examination methods for proper assessment of vertebral subluxation and abnormal development for the pediatric patient. Normal and abnormal evolution of the pediatric sagittal plane spinal curves. Postural and spinal evaluation of the newborn through adolescence. Case management using CBP instrument, drop table and other structural rehabilitation methods.

A review of research on spinal biomechanics, spinal rehabilitation methods and case study presentation. Special focus on TMJD, facial and oral structure and conditions and their direct relationship with cervical spine conditions and TMJD.

Integrated education in the science and art of cervical spine disorders. Detailed literature reviews covering cervical disorders, spinal manipulative therapy and structural correction of sagittal cervical lordosis. Appropriate application and timing of postural and functional exercises for the cervical spine designed to correct spinal subluxation and strengthen the cervical and upper thoracic spine tissues. Indications and contraindications of structural rehabilitation procedures.

Upper cervical spinal disorders with application to instrument adjusting for full spine postural subluxation and joint fixations. Understanding of how posture displacement influences the upper cervical spine as well as normal joint kinematics and instability analysis of the upper cervical spine.

Education on the science and art of spine, posture and lower extremity disorders. Literature review on postural displacements as they related to patient conditions. Objective posture assessment and measurement. Corrective global postural subluxation and drop table adjusting. Diagnosis, analysis and course of care of short leg syndrome and lower extremity disorders.

Practical application on CBP techniques for spine and postural abnormalities. 3 day hands on training to test the clinicians knowledge of CBP technique and their ability to perform it. Emphasis is placed on analysis and assessments and appropriate adjustive and rehabilitative treatment techniques.

Review on the literature on frequency and duration for establishing a treatment plan for chiropractic patients. Assessment of the upright spinal column and optimum static equilibrium upright posture with detailed literature review on each. Six biomechanical types of subluxation included segmental spinal coupling patterns. Validity, reliability and projection geometry of CBP analysis. Learn to structure a patient specific, evidence based CBP Rehabilitative Program of care in terms of frequency and duration of care.

Essentials of documentation and records keeping & medical photography. Understanding depositions, arbitrations and testifying in court. Effectively using models, charts, diagrams, photos and movies. Understanding Daubert and Frye Rules.

Lumbo-pelvic disorders: Detailed literature reviews covering lumbar disorders in patient population, the role spinal manipulative therapy and structural correction of sagittal lumbar lordosis. The relationship of lumbar curvature to patient health and disease conditions. Lumbar spinal rehabilitation to correct spinal subluxation and strengthen the lower spine. Case management of structural using structural rehabilitation methods.

Mirror image rehabilitation techniques of the cervical, thoracic and lumbar spine. Spinal rehabilitation using whole body vibrations. Advanced functional core stability rehabilitation methods.

The science and are of understanding, evaluating and management of scoliotic deformities in adolescents and adults. The link between genetic triggers, biomechanical growth modulation, environmental risk and age development. Conservative management of scoliotic deformities including flexible and rigid bracing concepts and rehabilitative procedures. Details of case management using conservative bracing adjusting and rehabilitative methods.

Education on the science and art of spine, posture and lower extremity disorders. Literature review on postural displacements as they related to patient conditions. Objective posture assessment and measurement. Corrective global postural subluxation and drop table adjusting. Diagnosis, analysis and course of care of short leg syndrome and lower extremity disorders.

Integrated education on postural and spinal distortions of the thoracic spine including normal values for the sagittal plane thoracic kyphosis with literature and age related changes of the thoracic spine reviewed. Understanding the role of thoracic spine disorders and subluxations in patient health and disease. Rehabilitative treatment techniques for thoracic, lumbar and cervical subluxation.

Integrated education in the science and art of cervical spine disorders. Detailed literature reviews covering cervical disorders, spinal manipulative therapy and structural correction of sagittal cervical lordosis. Appropriate application and timing of postural and functional exercises for the cervical spine designed to correct spinal subluxation and strengthen the cervical and upper thoracic spine tissues. Indications and contraindications of structural rehabilitation procedures.

A review of research on spinal biomechanics, spinal rehabilitation methods and case study presentations.