Michael Weir, DC

The goal of this activity is to increase clinician awareness of over-the-counter analgesics used for the treatment of osteoarthritis pain.

Learners will be versed in basic anatomy and function of vagus nerve, the Vagus nerve’s effects on reduction of inflammation and roles in communication. Cold Laser: How it works, Long term effects, Effects on Pain relief Phrenic nerve – its effect on the diaphragm. A detailed description of the laser’s ability to attenuate M/S injuries. How it can influence both central & peripheral nervous systems. Nerve-Flossing Exercises-Demonstration of exercises that play an integral role in neurological recovery.

Review of current standards and a review of the literature and research in regard to whiplash injuries and spinal trauma.

Advanced training in the mobility of the human musculoskeletal system. Special focus on how to train patients in the art of at home mobility work with a special focus on using mobility tools.

Deferentially diagnosing mild traumatic brain injury vs. traumatic brain injury and the clinical and imaging protocols required to conclude an accurate diagnosis for head trauma.

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.

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.

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 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.

To utilize 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.

Accurate and compliant documentation of history and clinical findings inclusive of functional losses, loss of activities of daily living, duties under duress and permanent loss of enjoyment of life. Prognosing static vs. stable care, gaps in care both in the onset and in the middle of passive care with a focus on detailed diagnosing. The integration of chiropractic academia, the court system and the insurance reimburser’s requirements for complete documentation.

The anatomy and physiology of the brain and how blood perfusion effects brain function. A detailed analysis of the blood supply to the brain and the physiology of ischemia.

Various types of stroke identifying ischemia, hypoperfusion, infarct and penumbra zones and emboli. Cardiac etiologies and clinical features as precursor to stroke with associated paradoxical emboli and thrombotic etiologies. Historical and co-morbidities that have etiology in stroke inclusive of diabetes, coagulopathy, acquired and hereditary deficiencies.

Stroke type and treatments performed by vascular specialists. The goals of treatment with the physiology of the infarct and penumbra zones and the role of immediate triage in the primary care setting. Detailing the complications of stroke and future care in the chiropractic, primary care or manual medicine clinical setting.

The neurological history and examination for identifying stroke risks with a focus on supra and infratentorial regions, upper and lower motor lesions, cranial nerve signs, spinal cord pathology, motor and sensory pathology and gait abnormalities. Examining genetic and family histories along with dissection risk factors. Stroke orthopedic testing and clinical guidelines pertaining to triage for the primary care provider.

Connective tissue morphology, embryology and wound repair as sequalae to trauma. Full components of strain-sprain models and permanency implications with wound repair and osseous aberration with aberrant structural integrity

Disc pathology as sequella to trauma; herniation, extrusion, protrusion, sequestration and how the spinal unit as one system creates homeostasis to balance the pathology

The peripheral and central innervation of the disc and spinal ligaments of the dorsal root ganglion, spinal thalamic tracts, periaqueductal gray areas innervating the Thalamus and multiple regions of the brain. The efferent neurological distribution to disparate areas of the spine to create homeostatis until tetanus ensues creating osseous changes under the effect of Wolff's Law

Demonstrate the 4 step assessment protocol, as it was modified from the Travell and Simons Protocol (based on all available research). Compare the Travell and Simons Protocol and the "new" recommended protocol, and state 3 changes that were made based on current research. Restate the findings from at least 3 studies they found particularly interesting in regard to trigger point assessment and evaluation. Identify 10 muscles that have been included in studies that demonstrate trigger point assessment is reliable.

List 2 potential benefits associated with local vibrationList 1 use of local vibration that is likely not effective (based on current research findings.Explain (4 steps or more) at least 3 of the vibration techniques taught in the course.Defend the use of vibration release on a muscle based on assessment findings.Integrate at least 3 of the vibration release techniques covered in this course into a plan of care.

This section is an in-depth overview of traumatic brain injury in concussion. It discusses that all brain injuries are traumatic and dispels the myth of a “mild traumatic brain injury.” Also, this covers triage protocols and the potential sequela of patients with traumatic brain injuries.

This section discusses gross traumatic brain injuries from trauma and significant bleeding with both epidural and subdural hematomas. There are numerous case studies reviewed inclusive of neurosurgical intervention and postsurgical outcomes.

This section continues with multiple case studies of gross traumatic brain injuries from trauma requiring neurosurgical intervention and also discusses recovery sequela based upon the significance of brain trauma. This module also concludes with concussion protocols in traumatic brain injury short of demonstrable bleeding on advanced imaging.

This this section covers concussion etiology and cognitive sequela where gross bleeding has not been identified on advanced imaging. It discusses the significance of electroencephalogram testing in determining brain function and pathology (if present). This module also covers the understanding of waveforms in electroencephalogram testing in both normal and abnormal scenarios.

This module covers amplitude, conduction and conduction delays as sequela to traumatic brain injury to diagnose concussion and traumatic brain injury in the absence of gross bleeding and advanced imaging. This section covers electroencephalograms and event-related potentials which measures the brain response that is a direct result of specific sensory or motor events. It is a stereotype electrophysiological response to a stimulus and provides a noninvasive means of evaluating brain function. In this module multiple case studies are discussed with ensuing triage protocols pending the results.

The goal of the training is to provide an overview of the evidence-based recommendations outlined in the CDC Pediatric mTBI Guideline and to equip healthcare providers with practical strategies to integrate these recommendations into clinical practice.

Discuss the study design of each of the three studies in this cluster. Explain the level of evidence of each of the three studies in this cluster. Critically evaluate the findings of each of the three studies and the implied relationships of each of the three studies in this course. Analyze the implications of the study findings as they relate to regional interdependence. Analyze the implications of the study findings as they relate to rehab and performance. Analyze the implications of the study findings as they relate to practice. Recall two assessments that may be implied by the findings from this cluster of three studies in this course. Recall two interventions that may be implied by the findings from this cluster of three studies in this course.

This course will give participant knowledge about conservative option and best practices for active rehabilitation of acute low back pain. It will enhance diagnostic and treatment competency around low back conditions. Participants will be able to implement conservative care practices to improve patient outcomes and delivery of evidence based care. They will be able to follow best practice in low back imaging, outcomes measurement and exercise rehabilitation of the low back.

List the mechanoreceptors found in muscles and connective tissue.Explain the effect local vibration has on sensory afferents and the resulting effect on muscle activity.List at least 2 practical applications for local vibration that are supported by available research.List at least 2 applications of local vibration that are not effective, as demonstrated by available research.

Migration of spinal care for mechanical spine issues from hospitals and medical specialists to trauma qualified chiropractors based upon published outcomes. Utilizing imaging studies in spinal biomechanics, pain models and clinical outcomes to determine a conclusive diagnosis, prognosis and treatment plan for triaging in a collaborative environment.

Understanding the normal of spinal biomechanics and the neurotransmitters required for homeostasis. The interconnected role of Pacinian Corpuscles, Ruffini Corpuscles, Golgi Organ Receptors, Nociceptors, Proprioreceptors and Mechancoreceptors in maintaining sagittal and axial alignment in the presence of mechanical pathology.

The literature, academic and clinical standards to age-date herniated discs. The clinical correlation the pain patters with advanced imaging finings of bone edema, spurs based upon the Piezoelectric effect fo remodeling, high signal on T2 weighted images, Vacuum Discs and disc heights in determining the time frames of the etiology of the spinal disc pathology.

Understanding the timely triage necessities based upon clinical and imaging outcomes and the documentation required for collaborative physicians to continue care. Ensuring that the documentation is complete, reflective of services rendered and clear for third party consideration in an admissible format to considered in a medical-legal environment.

Understanding the lateral and ventral horn’s innovations of Pacinian Corpuscles, Ruffini Corpuscles, Golgi Organ Receptors, Nociceptors, Proprioreceptors and Mechancoreceptors and the pathways through the spinal thalamic tracts through the periaqueductal region, the Thalamus into the Occipital, pre-frontal, sensory and motor cortexes and the efferently back through the Thalamus to disparate regions in creating spinal homeostasis, Pacinian Corpuscles, Ruffini Corpuscles, Golgi Organ Receptors, Nociceptors, Proprioreceptors and Mechancoreceptors.

Utilizing T1, T2, STIR and Gradient studies in determining myelomalacia, intra and extra-dural tumors and systemic disease patterns affecting the spinal cord. When to use contrast post-operatively in identifying discal structures vs. adhesions on postoperative advanced imaging. MRI Interpretation of herniated, circumferential bulges, focal bulges, protruded, extruded, comminuted, sequestered and fragmented discs. When to consider a neurosurgical consultation based upon the correlation of imaging and clinical findings.

Trends in hospital and emergent care in the healthcare delivery system inclusive of policies, hospital staffing and current care paths for mechanical spine issues.

Review of the current literature in regard to whiplash trauma and motor vehicle related injuries.

A journal review of a patient that presented with bilateral numbness in both of her hands. Readers will recognize the many signs, symptoms, and causes of hypocalcemia.

During this review of TIA learners will review the definition of transient ischemic attack (TIA). They will be able to identify the most common causes and mimics of TIA and recognize the importance of rapid diagnosis of TIA. Lastly they will be able to describe the basic workup for patients presenting with TIA symptoms and discuss available management options for TIA.

Differentially diagnosing spinal issues in the trauma and non-trauma patient inclusive of spinal disc pathology utilizing x-ray, MRI, CAT Scan and clinical evaluations. Collaborative triaging protocols with neurologists, neurosurgeons, orthopedic surgeons, pain management and primary medical care providers with both mechanical and anatomical spinal pathologies.

At the conclusion of this course, participants should be able to, describe the fundamental principles of nutrition, conduct a motivational interview and nutritional assessment in a primary care setting.

At the conclusion of this activity, participants should be able to: Evaluate a patient for basic musculoskeletal conditions associated with posture, ergonomics and biomechanics, reduce prescription of narcotic pain medications while enhancing utilization of physical modalities (physical therapy, acupuncture, myofascial or active release techniques) through integration of biomechanical- and trigger-point-based diagnostic approaches, differentiate between common musculoskeletal conditions, based on patient history and mechanism of injury to target the root cause of pain and dysfunction, manage musculoskeletal injuries through employing imaging studies as tools to guide treatment and referrals, and educate patients regarding performance of independent home exercises, additionally gaining an online stretching source for patient referral.

Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient, 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.

Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, 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.

Crash Dynamics and Its Relationship to Causality, 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, Bone Scan and X-Ray Protocols, Physiology and 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.

Neurodiagnostic Testing Protocols, Physiology and 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.

Documentation and Reporting for the Trauma Victim, 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.

Documenting Clinically Correlated Bodily Injury to Causality, 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.

Triage, care and collaboration for herniated, bulged, protruded, extruded and fragmented spinal discs. Compliant documentation of evaluation and management of new and established patients inclusive of chief complaint, history of present illness, review of systems, past-family-social histories with case management protocols and the required elements. Clinically coordinating treatment with subjective complaints, clinical findings and diagnosis for each encounter.

MRI History and Physics, 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.

MRI Spinal Anatomy and Protocols, 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 Disc Pathology and Spinal Stenosis, 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 Spinal Pathology, 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 Methodology of Analysis, 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 Clinical Application, 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 Protocols Clinical Necessity, 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 Interpretation of Lumbar Degeneration/Bulges, 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 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.

MRI Interpretation of Cervical Degeneration/Bulges, 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 Interpretation of Cervical Herniations, 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 Interpretation of Degenerative Spine and Disc Disease with Overlapping Traumatic Insult to Both Spine and Disc, 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.

Conceptualize concussion as heterogeneous entiy. Recognize assessment finding that help establish targeted clinical profiles for concussion. Recognize how clinical management, treatment and rehabilitative directives are dictated by these clinical profiles

Identify and use conservative behavioral strategies for concussion management. Identify and understand presentation of post traumatic headaches. Descriptions of the vestibular system and its relationship to recovery following mTBI. Discussion of common vestibular system abnormalities following mTBI Identification methods for screening for vestibular and ocular motor dysfunction following mTBI

Implementation of early treatment and management strategies for patients who continue to play with concussion, which will result in improved recovery outcomes. Education on how to education patients and youth sport stakeholders on the consequences of continuing to play through a concussion, which will improve recovery outcomes in youth sport athletes. There was also discussion around the importance of removal from play as a contributing risk factor for prolonged recovery with patients, which will encourage patients not to continue to play with concussion and seek medical treatment immediately following injury. There was description into the role that preexisting sleep problems play in outcomes following concussion Identify family history as a risk factor for migraine post concussion. Discussion around neurocognitive impairments and recovery outcomes in patients with convergence insufficiency following concussion Describe the role of risk factors and profiles in conceptualizing concussion clinical research. We explore the emerging evidence for risk factors and clinical profiles in relation to patient care. Examination of new evidence that rest may not be the best treatment strategy for all patients.

Deep description as to the pathophysiology of concussion was discussed. Comparison of the six clinical profiles of concussion was done. Discussion of the primary and secondary factors for concussion outcomes was discussed as well.

Upon completion of this activity, participants should be able to: Recognize human brain-computer interface control Recognize sensory feedback through a brain-computer interface

Impairment Rating, 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 impairment rating. Herniated discs, radiculopathy, fracture, dislocationa and functional loss are also detailed in relation to impairment ratings.

Management of spinal trauma patients as it relates to proper diagnostics through xray and examination, and what to do with specific case types.

Study of the proper diagnostic procedures as it relates to spinal trauma. Most notably learners will learn the essential diagnostics for ligament injury and pathology.

Advanced concepts around the complexities of motor vehicle collision related trauma including radigraphic training, up to date concepts in the treatment of MVC trauma and an advanced look at med-legal concepts as a healthcare provider.

Training on the signs of symptoms of someone at risk for suicide and the steps to take to intervene and prevent a suicide patient from following through on a plan.

A training on how to create a spinal impairment rating for a workers compensation patient. The primary focus of this course was the lumbar spine.

A training on how to create a spinal impairment rating for a workers compensation patient. The primary focus of this course was the cervical spine.

This course is designed to define the Problem Oriented Medical Record (POMR), demonstrate taking a complete patient history, define the Evaluation and Management examination for the musculoskeletal system, define Outcome Assessment, illustrate the P.A.R.T. format of documentation, define proper assessment for SOAP notes, show proper documentation of treatment performed on each visit, and discuss proper documentation of treatment plans.

A systematic review of the pertinent anatomy of the hip, the kinematics and kinetics of hip function during the gait cycle. Also a thorogh review of prediction pathomechanics that will arise from the gait abnormalities presented

A brief look at the concept of values based health care and treating the patient based on outcomes and motivation, instead of fear and shaming.

An overview of some of the current concepts around creating a safe and outcome based medical model. Learners will leave with a model that they should be able to implement right away around creating an ideal patient centric model of care.

A brief overview of the ever growing population of patient with chronic pain and what some of the current research is saying about helping these patients.

Participants in this CME activity will understand and be able to implement evidence-based cost-effective clinical strategies for providing care for low back pain in adults.

Review of how the motor and sensory homunculus relate to the foot and are integral to training and rehabilitation, as well as discussion of the 3 rockers of the foot. Also an explanation of the concept of pelvis neutrality and its effect on training

: Introduction into the concept of movement therapy and enhancement via functional kinesio taping methods. It includes a review of the current literature supporting the theory of kinesiology taping for the purposes of rehabilitation, edema/swelling management, neuropathic pain, scar mobility and postural management.

An in depth review of the current research and understanding around what it takes to get and stay healthy in regard to proper nutrition. Learners should have a good grasp on foundational nutrition plans and what areas may need supplementation in a patients diet.

In the fourth installment of this four part series, learners will be introduced to the latest in research around treatment protocols to get auto injury related spine injuries better.

An in-depth overview of managing a patient with a work and industrial injury. Concepts in case management include common pitfalls in Labor and Industry cases, proper filing of paper work, and how to navigate problem cases.

An overview of the most current research in chiropractic today and how it relates to patient care. Adjusting techniques to manage various conditions will be taught as they relate to injury and chronic pain cases.

In this third installment of a four part series on auto injury related spine syndromes learners will be introduced to the research around long term outcomes of auto related injuries.

In this 2nd installment of the four part series, learners will be taken through a full work up and triage of a auto injury patient. Orthopedic, neurological, chiropractic testing will be covered with each of the positive and negative outcomes for each test.

In this in depth review of auto related trauma, learners will grasp a thorough understanding of whiplash related radiography standards, common pitfalls in working with auto related injuries and what to do about it, as well as a thorough review of documentation standards in personal injury cases.

A look at the dynamic of narratives, proper CPT coding, proper notes and files and how they all relate to proper billing patterns. Learners will also cover the most current lien laws in the state of Washington.

Managment of insurance, L&I and medicare patients as it relates to billing and navigating what each of these entities require. Special emphasis will be made to billing and E&M compliance and managing a compliant patient file.

An updated case study of spinal imaging cases to provide an understanding of what practitioners should be looking for and when to refer out.

An in depth study into the origin of pain, including neuro anatomy as it relates to pain (both peripheral and central nervous systems), nerve conduction, and velocity as they relate to pain sensation.

As a follow up to PAIN 101 we will take the concepts learned and apply them to ways to decrease pain patterns and ways to keep the patient out of pain.

An extensive review to assess the current literature on outcomes assessment in chiropractic practice, describe the psychometric properties outcome measures, summarize the utility of patient related outcome measures, outline the various domains of outcome assessments, describe the clinical significance of common patient reported outcome measures and discuss the strength of evidence supporting them along with their clinical significance and utility

Advanced concepts in billing, coding, and documentation. Learners will have a thorough understanding of the laws and structure around billing and coding, and the latest in what is expected of documentation standards.

This and last years most intriguing research in and around the chiropractic field. Special emphasis is applied to studies that can be used to help accentuate patient care today.

Billing, coding and documentation basics. Management of patient documentation, and how it applies to coding for both E&M and treatment and how to bill properly in accordance with insurance and state law.

: An indepth hand on practical discusion of all material (Modules 801/901-822/922) as in pertains to the human nervous system, practical diagnosis, and treatment protocols

An indepth review of all material (Modules 801/901-822/922) as in pertains to the human nervous system, diagnosis, and treatment

An in-depth review of the aspects of muscle physiology as it pertains to neuromusclular rehabilitation, with emphasis place on the intergration from other related systems of the cerebellum as well as the cortex

The objective of this module was to review the clinical application of the anatomy and physiology of the autonomic nervous system pertaining specifically to respiratory and gut integration

An extensive review of the neurological controlling influences of the cardiovascular system as it relates to the brain hemispheric model of integration, with emphasis on the use of common chiropractic modalities as vehicles to evoke change in the cardiovascular system based on our current day understanding of cardiovascular neurological integration

Presentation on the breadth and depth of information pertaining to the pathophysiological mechanisms associated with movement disorders in such a way as to facilitate the diagnosis and treatment of various movement disorders by the practicing chiropractor

An in-depth integration of current understandings of neurological function in the diagnosis and treatment of disorders affecting the human nervous system

Review and expansion on the clinical anatomy and neurophysiology of the peripheral and central pain pathways responsible for cranial pain perception and chiropractic applications specific to cranial pain

An extensive understanding in the clinical anatomy and neurophysiology associated with pain perception, pain generating mechanisms, central mechanisms for pain inhibition and facilitation and methodology specific to chiropractic modalities in the treatment of pain will be reviewed

Discussion and practical application of the use of chiropractic adjusting techniques as they apply to the human nervous system

Review of the aspects of sensory informational processing in human kind with emphasis on the applicableness of this information in the clinical chiropractic practice

: An in-depth look into the integration of current understanding of neurological function in the diagnosis and treatment of disorders affecting the human nervous system. Emphasis was placed on neurological influences of multiple organ systems as it relates to neurological disease, and the interpretation of information obtained from the physical examination was reviewed as to ascertain the longitudinal level of the lesion as well as to provide the examiner with information for the application of treatment modalities specific to the individuals neurological dysfunction.

Review of the clinical anatomy and neurophysiology of the lobes of the brain with emphasis on description of the localized function of each particular lobe and the clinical syndromes secondary to various lesion mechanisms.

Review of the clinical anatomy and physiology of the cerebellum as it pertains to the pathogenesis of various cerebellar based movement and postural alterations.

Review of clinical anatomy and neurophysiological sturctures of the autonomic nervous system was presented with the emphasis on the central brain influences on autonomic function as it relates to disease states affecting the autonomic nervous system. Further emphasis was placed on structure and function of the ANS in relationship to respiratory, cardiovascular, gastrointestinal and genitourinary function and pathology.

Review of the functional organization of the spinal cord as to facilitate the diagnosis and treatment of various spinal cord lesions. Structured methodology was presented to aid each practitioner in differentiating various clinical syndromes directly or indirectly involving the spinal cord.

Review of the anatomical and neurophysiological structure of the peripheral nervous system and its clinical implications.

Discussion and development towards a proficient understanding of the relationship between brain activity and muscle tone. Emphasis is placed on the structure and function of the motor system in relationship to receptor activation. Exploration into the relationship between brain/muscle spindle sensitivity/gain and muscle tone. Lastly, presentation on methodology concerning brain based activation of the neuromuscular system

An indepth education into the importance of the study of neurology as it pertains to the practice of chiropractic, as well as to understand the clinical application of neuron theory as it relates to environmental potentials and their effects on the central nervous system.