Brad Shook, DC DAAMLP

Critical documentation from day 1; What every personal injury and forensic expert needs to know. The fundamental of expository, scientific writing you were never taught; common dos and don'ts The essential craft of narrative report preparation from A-Z; style, strategy, methods, organization, and common pitfalls Incorporating outcomes assessment and disability instruments into your reports (SCL-90-R, Oswestry, Roland-Morris, Rivermead PCS, and more) The application of AMA guidelines in personal injury and forensic practice Modern guidelines and best practices (Presley Reed, Mercy, QTF, ACOEM, Croft); How they are commonly abused and how and when to use them correctly Critical rebuttal methods and strategies in today's modern forensic practice Special software applications: managing data, information, graphics; saving time

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.

Understanding the utilization of (CRMA) Computerized Radiographic Mensuration Analysis in the triage of injured patients. Reviewing AMA Impairment Guidelines 5th edition, and understanding how CRMA can demonstrate (AOMSI) Alteration of Motion Segment Integrity, a commonly missed injury to spinal ligaments that is ratable under the AMA Impairment guidelines 5th edition between 25% to 28% whole person impairment

An in-depth, four module, science-based training program covering the entire spectrum from the physics of motor vehicle crashes to human biomechanics to diagnostics and management

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, 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, 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 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.

MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the comorbidities 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.

In-depth training on all aspects of management of trauma, from beginning to end; a comprehensive primer on crash reconstruction including comprehensive physical examination of whiplash and traumatic brain injury with emphasis on special laboratory methods. Topics covered included: The latest radiographic examination and analysis techniques, including CT and MRI examination of brain and soft tissue injuries. Special diagnostic imaging modalities (SPECT, PET, fMRI, MRA, VF, etc.); how and when to use Electrodiagnostics (EMG, sEMG, SSEP, VEP, etc…). Rendering a diagnosis/impression in the personal injury or forensic setting; pearls and pitfalls. Soft tissue healing times and implications for successful case managemen. The state of the injury and implications for case management. Designing a treatment plan and living with guidelines. Important applications of activities of daily living; optimizing outcomes. Chiropractic manipulation, deep tissue massage, and PT Modalities for best outcomes

Best practice guidelines for working with personal injury patients in North Carolina

Rehabilitation of the injured spine, with emphasis on improving functional outcomes and activities of daily living

The Part I course is introductory to Cox Technic flexion distraction and decompression protocols. Cox Technic treatment protocol, biomechanics of the human spine (cervical and lumbar), case presentations, diagnosis and treatment of discogenic and non-discogenic back pain, Facet Syndrome, Spondylolisthesis, Tropism, Short Leg, Transitional Segment were covered

Topics covered included: Intervertebral Disc Herniation Induced Stenosis, Cox Technic adjusting procedures for the intervertebral disc, a review Of Non-Discogenic Causes Of Low Back Pain, examination of the patient, and Cervical Spine: Biomechanics, Diagnosis, Treatment with Cox Protocol

This course provides an integrated education for the Doctor of Chiropractic in the science and art of cervical spine disorders. Detailed literature reviews covering the crisis of cervical disorders in patient populations, the role of spinal manipulative therapy and structural correction of sagittal cervical lordosis. Normal average and ideal values for the cervical lordosis. Detailed categories of head to thorax postures, spine kinematics and abnormalities of the sagittal cervical lordosis. 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. Introduction to 16 categories of sagittal cervical traction and 3 methods of coronal cervical traction with demonstrations for structural rehabilitation of the cervical spine, and indications and contraindications to these new structural rehabilitation procedures. Case management using structural rehabilitation methods covering a variety of case studies for a comprehensive picture of clinical application of CBP for cervical spine rehabilitation. A survey of research material supporting the utilization and efficacy of CBP technique structural rehabilitation treatment methods across a population of patients

This course provides an integrated education for the Doctor of Chiropractic in the science and art of lumbo-pelvic disorders. Detailed literature reviews covering the crisis of lumbar disorders in patient populations, the role of spinal manipulative therapy and structural correction of sagittal lumbar lordosis. Normal average and ideal values for the lumbar lordosis. Detailed categories of lumbo-pelvic postures, spine kinematics and abnormalities of the sagittal lumbar lordosis. Appropriate application and timing of postural and functional exercises for the lumbar spine designed to correct spinal subluxation and strengthen the lower back tissues. An introduction to 17 categories of sagittal lumbar traction and 5 methods of coronal lumbar traction with demonstrations for structural rehabilitation of the lumbar spine. Details of case management using these structural rehabilitation methods covering a variety of case studies for a comprehensive picture of clinical application. A survey of research material supporting the utilization and efficacy of CBP technique structural rehabilitation treatment methods across a population of patients with chronic pain conditions

This course provides a current education in Posture related to Systemic Health and types of Mechanoreceptors and Proprioceptors. Relates abnormal posture with visceral dysfunction (Type O Disorders). Hypothesizes and supports a Nerve Interference Theory based upon deformation of proprioceptors and mechanical receptors from abnormal tissue loading in abnormal posture. A literature review on Posture and Systemic Health, mechanoreceptors and proprioceptors in spinal tissues: Facet capsular ligaments, spinal ligaments, intervertebral discs and Muscles. Review of visceral dysfunction from abnormal posture

This course provides an integrated education in the science and art of upper cervical spinal disorders with application to instrument adjusting for full spine postural subluxations and joint fixations. Learn how posture displacement influences the upper cervical spine as well as normal joint kinematics and instability analysis of the upper cervical spine. The biomechanics and neurophysiological mechanisms of instrument adjusting techniques with indications for different techniques of segmental versus postural adjusting. Corrective global postural subluxation set-ups for the head, thoracic cage, and pelvis with a hand-held instrument used to adjust the upper cervical area and segmental adjusting techniques for upper cervical subluxation/displacements. A comparative review of upper cervical methods of adjusting and a literature review on upper cervical anomalies. The details of case management using these instrument adjusting methods with a variety of case studies for a comprehensive picture of clinical application

This course provides an integrated education reviewing the literature on frequency and duration topics for establishing a logical treatment plan for Chiropractic patients. This course will define a normal static equilibrium spinal model from the literature and define two types of subluxation as not normal: abnormal posture and segmental spinal coupling patterns as rotations and translations in 3-D. X-ray Validity, reliability, projection geometry, and CBP analysis methods. Literature review supporting a normal spinal model of upright posture along with basic definitions and theorems from mechanical engineering to posture and spinal coupling

This course provides an integrated education for in the science and art of spine, posture, and lower extremity disorders. The total permutations of abnormal posture using formulas from probability theory are delineated and a literature review on postural displacements as they correlate to patient conditions. Corrective global postural subluxation set-ups for the head, thoracic cage, & pelvis on a drop table. Diagnosis, analysis and course of care for short leg syndrome and lower extremity disorders as well as upper cervical subluxations/fixations. A survey of research material supporting the utilization and efficacy of Chiropractic Biophysics drop table technique treatment methods across a population of patients with chronic pain conditions

This course provides an integrated education for the Doctor of Chiropractic in the science and art of pediatric disorders and adjusting. Normal developmental anatomy of the infant through childhood. Examination methods and findings for proper assessment of vertebral subluxation and abnormal development for the pediatric patient. Normal and abnormal evolution of the pediatric sagittal plane spinal curvatures and subluxation conditions. Postural and spinal evaluation of the newborn. Details of case management using CBP instrument, drop table and other structural rehabilitation methods. A survey of research material supporting the utilization and efficacy of CBP technique structural rehabilitation treatment methods

The management and treatment of low back pain utilizing non-surgical spinal decompression therapy. Topics include: proprioceptive/neurological re-training, stabilization exercises, active care treatments, neurophysiological explanations of pain control, spinal canal stenosis, spondylolisthesis, degenerative disc disease, disc buldge/protrusion/extrusion/sequestration, neurological testing, neuropathic projected pain vs. nociceptive referred pain

Covering the role of chiropractic care in occupational health

Understanding insurance and regulatory agencies involved in Workers' Compensation

Using treatments, goals and attitude to safely return the injured worker back to the workplace

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 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

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

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

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

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 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

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 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

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 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

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

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

The significance documentation and credentials in the personal injury field with a focus on clinically correlating causality, bodily injury and persistent functional loss as a sequele

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

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 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

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

Brain and head physiology, brain mapping and pathology as a sequella to trauma. Traumatic brain injury, mild traumatic brain injury, axonal shearing, diffuse axonal injury and concussion are detailed in etiology and clinically. Clinical presentation, advanced diagnostic imaging and electrodiagnostics are detailed in analysis to create a differential diagnosis. Balance disorders that often occur as a result of trauma are also explored from clinical presentation to advanced imaging and differential diagnosis

The understanding and utilization of the protocols and parameters of the AMA Guide to the Evaluation of Permanent Impairment 6th Edition. Spine, neurological sequelae, migraine, sexual dysfunction, sleep and arousal disorders, station and gait disorders and consciousness are detailed for impiarment rating. Herniated discs, radiculopathy, fracture, dislocationa and functional loss are also detailed in relation to impairment ratings

Utilizing peer reviewed scientific literature in creating a diagnosis, prognosis and treatment plan for the chronic and acute patient. How to implement and stay current on techniques and technology in healthcare

This course covers requisite and comprehensive biomechanics knowledge for forensic experts. Whiplash and brain injuries: the real reasons they are on the rise. The minimal property damage equals minimal injury risk myth exposed with an in-depth analysis of brain, neck, and cervical spine trauma mechanisms. Soft tissue injuries and a comprehensive and cutting edge analysis of clinical syndromes and conditions resulting from whiplash (WAD/CAD). What forensic experts need to know about the various pain syndromes. Risk assessment and the fundamental key to modern forensic practice

This course provides information on the use of medical photography; when and how to use it and incorporate it. Discusses depositions, arbitrations, and testifying and how to prepare for cross-examination. A discussion of the use of evidence such as models, charts, diagrams, photos, and movies. Daubert and Frye rules and how they affect your testimony, and a review of treatises, reliable authorities and other federal rules of evidence.