Kevin Leach, DC

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.

An in-depth review of basic neuro-anatomy and physiology dermatomes and myotomes to both the upper and lower extremities and the neurophysiology of axons and dendrites along with the myelin and function of saltatory for conduction. The sodium and potassium pump’s function in action potentials.

Nerve Conduction Velocity (NCV) Part 1: Nerve conduction velocity testing, the equipment required and the specifics of motor and sensory testing. This section covers the motor and sensory NCV procedures and interpretation including latency, amplitude (CMAP) physiology and interpretation including the understanding of the various nuances of the wave forms.

Nerve Conduction Velocity (NCV) Part 2: Compound motor action potentials (CMAP) and sensory nerve action potentials (SNAP) testing and interpretation including the analysis and diagnosis of the wave forms. It also covers compressive neuropathies of the median, ulnar and posterior tibial nerves; known as carpal tunnel, cubital tunnel and tarsal tunnel syndromes. This section offers interpretation algorithms to help understand the neurodiagnostic conclusions.

The EMG process, inclusive of how the test is performed and the steps required in planning and electromyographic study. This covers the spontaneous activity of a motor unit action potential, positive sharp waves and fibrillations. The insertional activity (both normal and abnormal), recruitment activity in a broad polyphasic presentation and satellite potentials. This covers the diagnosing of patterns of motor unit abnormalities including neuropathic demyelinated neuropathies along with acute myopathic neuropathies. This section also covers the ruling out of false positive and false negative results.

The clinical incorporation of electrodiagnostic studies as part of a care plan where neuropathology is suspected. It also covers how to use electrodiagnostics in a collaborative environment between the chiropractor as the primary spine care provider and the surgeon, when clinically indicated. This section covers sample cases and health conclude and accurate treatment plans based upon electro-neurodiagnostic findings when clinically indicated.

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.

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.

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.

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 grey matter, thalamus and cortices involvement.

The biomechanics of traumatic disc bulges as sequelae 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 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.

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.

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-9 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.

This class reviews any Updates to the Standards & Protocol of the National Upper Cervical Chiropractic Association – NUCCA.

When to order advanced imaging of Cone Beam CT of the cranio-cervical junction and how to interpret results using NUCCA protocols.

Aspects of image quality like alignment, patient placement and filtration. Digital and analog radiographs. Attending doctors brought images from their office for review and evaluation and received instruction on ways to improve quality and consistency.

Relationship between concussion, post concussion syndrome and the upper cervical spine. Differential diagnosis with crossover of symptomatology of post concussion syndrome and biomechanical lesions of the upper cervical spine. Research findings, post-concussive CSF & blood flow patterns. Collaborative care with other providers treating post concussion syndrome.

Instrumentation and diagnostic tools for assessing the Chiropractic Subluxation(biomechanical lesion) of the cranio-cervical junction. When new imaging is necessary to reanalyze biomechanics of the upper cervical spine.

Review of clinical anatomy of the cranio-cervical junction. Clinical correlation between common and more complex anatomy of the cranio-cervical junction and injury mechanisms evaluated in practice.

Scientific Literature Review, Summarizing ongoing research & projects by UCRF/NUCCRA(Research branch of NUCCA) as they apply to reliability and validity of NUCCA assessments, fine-tuning of NUCCA protocol, and improvements in providing NUCCA patient care as a result of conducted research.

Biomechanics of the correction of the atlas subluxation complex (upper cervical biomechanical lesion). How to use the biomechanics of the upper cervical anatomy to restore proper biomechanical function of the cranio-cervical junction, Practical instruction on individual doctors technique of applying the NUCCA adjustment to the patient including exercises, drills and stretches to maximize skills of doctors.

Practical Instruction for advanced doctors for placing patient on headpiece for the NUCCA chiropractic adjustment.

Review of philosophical principles of NUCCA.

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-9 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.

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 of the pain patterns with advanced imaging findings of bone edema, spurs based upon the Piezoelectric effect for 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 innervations 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.

Utilizing detailed history and examination findings to determine the best care path for the patient. Clinical factors in determining the timelines for advanced imaging in both the trauma and non-trauma patients.

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. Collaborate triage protocols with neurologists, neurosurgeons, orthopedic surgeons, pain management and primary medical care providers with both mechanical and anatomical spine pathologies,

Determining the etiology of the patient's complaints in a traumatic or non-traumatic scenario. Analyzing the patient's past history and review of systems along with the performance of a complete orthopedic, neurological and clinical examination to correlate both past, current and causality issues to formulate an accurate diagnosis, prognosis and treatment plan. There is an emphasis on triaging both the trauma and non-trauma patients,

In depth review of the current scientific literature supporting whiplash injuries, including all factors affecting clinicals and the epidemiology of whiplash injuries. Common syndromes and conditions resulting from whiplash, including brain injuries, temporomandibular disorders, muscular pain syndromes, thoracic outlet syndrome, carpel tunnel syndrome, and chronic pain disorders were discussed and reviewed with special attention being paid to the diagnosis and management of these conditions.

Accident reconstruction principles used in low speed rear impact collisions were reviewed and discussed. Complete history taking and physical examination methods were demonstrated with a focus on the objectification of spinal injury utilizing plain film radiograph and advanced imaging modalities, including CT, MRI, scintigraphy, PET and SPECT. Electrodiagnostic testing and its applications to treatment and triage to other medical specialists. Wound repairing of soft tissue injuries and the designing of an evidence-based treatment program, with particular attention to activities of daily living advice and ancillary supportive therapeutic procedures. Detailed discussion and analysis of specific chiropractic therapeutic approaches to successfully manage whiplash disorders were presented and discussed. Maximum medical improvement.

Whiplash Biomechanics and Injury Traumatology, Comprehensive and clinically directed narrative report construction. Attention to avoiding common mistakes and pitfalls in writing reports was discussed and outlined. Special graphics, charts, and color enhanced reports to increase understanding of complex engineering accident principles was discussed.

Clinical preparation for depositions, arbitration, and court testimony. Selection and use of demonstrative evidence tools to assist in the explanation of causality, bodily injury and persistent functional losses. In depth review of literature searches and bibliographic services was presented and discussed.

Statistics concerning sports related concussion and current standard of care for treating concussions, differential diagnosis in determining hip and spine pain, mechanisms of shoulder injury and dislocation and when surgery is necessary, importance of imaging only when absolutely necessary

Review of AMA guides to impairment ratings. Classification Systems, classes, net adjustment formula, pain related impairments and record keeping standards were reviewed and discussed. Medical, legal and prevention of medical errors relating to impairment rating were discussed.

Relationship between the brain and gut through vagus nerve and biochemical communication. Parasympathetic and Sympathetic influence on brain-gut relationship according to stimulus of environment. Relationship to biomechanical dysfunction of the cranio-cervical junction to conditions related to the gut. Cases studies on resolution of gut conditions like IBS, diverticulosis and constipation presented and discussed. Traumatic brain injury related to brain-gut dysfunction. Differential diagnosis between concussion and neck injuries. Polyvagal Theory.

Chiropractic adjustment of the cranio-cervical junction visualized with digital motion x-rays was reviewed and discussed.

Analysis of biomechanical dysfunction of the cranio-cervical junction and its relationship to dental malocclusion.

Cranio-cervical vulnerability during whiplash. Delta V and acceleration as important factors in determining potential injury. Motor vehicle crash statistics and research was reviewed and discussed. Difference in mechanism of injury in upper vs. lower cervical spine, Crash test videos viewed and discussed. Motor vehicle crash risk factors, Bumper ratings and safety features of vehicles.

Biomechanical lesion analysis of the cranio-cervical junction using CBCT.

Biomechanical lesion analysis of the cranio-cervical junction using upright MRI.

Mechanism of Cervical Artery Dissection, risk factors, statistics and research was reviewed and discussed. No causation found between cervical adjusting and cervical artery dissection.

The relationship between chiropractic, Movement, NMS function, Autonomic function, Allostasis, and Health. Implementing Evidence-Based/Informed patient assessment, Reports, Intervention, and Education for Recovery, Wellness, and Prevention. Chiropractic made easy and systematic for Doctors, Staff, and Patients,

This class reviews any Updates to the Standards & Protocol of the National Upper Cervical Chiropractic Association – NUCCA,

Reviews recently passed Level 3 certified NUCCA series of films, Reviews top criteria needed to become Board Certified,

Anatomy, Biomechanics, Neurology, Neurophysiology, Advanced Imaging (MRI, CBCT), Current developments in Cerebellar Tonsilar Ectopia (Understanding Chiari), CCJ Examination & Integrative Care considerations,

Designed for advanced NUCCA doctors reviewing technical aspects of radiographic analysis and structure identification, Imaging technique, Errors in Analysis and osseous abnormalities,

Development and practice of the skill of the adjusting portion of the NUCCA procedure, Hands on learning and practicing each phase with Board Certified instructors, Focusing on second half of all phases,

Case studies presentation & discussion of biomechanical rationales for difficult cases, Doctors bring their own case studies to be reviewed, Biomechanical Rationale,

Scientific Literature Review, Advanced Adjusting, Review of ongoing research & projects by UCRF(Research branch of NUCCA) as they apply to reliability and validity of NUCCA assessments, fine-tuning of NUCCA protocol, and improvements in providing NUCCA patient care as a result of conducted research,

Discussion of elements of a suitable research paper and required components of each section. Manuscript assessment checklists for proper interpretation of findings. Examination of a controversial paper to highlight potential strengths and shortcomings,

Lecture and practical techniques to assist doctors in developing their adjusting skills. Individual evaluation of strengths and weaknesses and guidance for improvement by certified doctors,

Phases of a PI Case, PIP Information, Insurance Medical Examinations, Responding to medical records requests,

Background Information on Tension Type Headaches, Episodic vs Chronic, Epidemiology, Causes, Presentation, Differential Diagnosis, Medical Approach, Chiropractic Approach, Trigger Point Therapy, Neurofeedback,

Classification, Epidemiology, Pathophysiology, Clinical Features, Differential Diagnosis, Physical Exam, Imaging, Headache Abortive Medications, Headache Prevention Medications, Non-Pharmacological Therapies, Injections and Procedures, Chiropractic Approach,

Understanding Migraines, Causes of Migraines, Neurovascular Involvement, Trigeminal Autonomic Reflex, Vascular Theory, Brainstem Dysfunction, Red Flags, Medical Approach, Chiropractic Approach, Trigger Points, Treating Migraines, Clinical Presentation,

Conditions & Symptoms Related to Whiplash Injury, Facet Involvement & Treatment, Loss of Cervical Lordosis, Disc Injuries, Nerve Involvement, Clinical Presentation, Radiculopathy, Orthopedic Exams, Post Concussion Syndrome,

Mechanisms of Injury During Low Speed Impact Colllisions, General Magnitudes of Force During Low Speed Impact Collisions, Relationship Between Low Speed Impact Collisions & Occupant Injury, Injury Risk Factors, Nociceptive and Neuropathic Pain Syndromes,

Neck Pain as a Manifestation of Headache or Migraine, Involvement of the Trigeminorcervical Nucleus, Clinical Features, Diagnosis of Cervicogenic Headaches, Medical Approach, Physical and Manual Modes of Therapy, Research Support,

Preparation of written Level 2 certification. Consistency of X-ray technique positioning and biomechanical analysis,

Overview of Digital X-ray Analysis using Vistech software, Review of current Digital X-Ray Analysis systems and software to complete NUCCA X-ray analysis, Troubleshooting current software products,

X-ray and schematic presentation of out of pattern four basic types of misalignments, Case studies presentation & discussion of biomechanical rationales for unusual cases, Lever systems and headpiece placement, Strategies & approaches,

Development and practice of the skill of the adjusting portion of the NUCCA procedure, Hands on learning and practicing each phase with Board Certified instructors, Focusing on first half of all phases,

Development and practice of the skill of the adjusting portion of the NUCCA procedure, Hands on learning and practicing each phase with Board Certified instructors, Focusing on second half of all phases,

Observing the Chiropractic Atlas Subluxation (biomechanical lesion) through simple geometry, In depth analysis on lines and angles of the NUCCA Analysis,

Current Research Projects by NUCCA Research Branch, Recent Completed Research Projects by NUCCA Research Branch, Future Research Projects by NUCCA Research Branch,

Review of Anatomy, Physiology, Biomechanics, neurology and neurophysiology, Chiropractic Subluxation Hypothesis, Affects on CSF flow, When advanced imaging is necessary, Ongoing investigations on CTE, CSF Flow, Glymphatics related to Craniocervical, Applying Review to Everyday Practice,

Review of Proper Parameters of Quality Imaging over several example X-rays, Problem Solving & Correcting Errors, Biomechanical discussions,

Cardiovascular System, Hypertension, Electrical System, Cardiac Arrhythmias, Heart Failure, Myocardial Infarction, Office Training, Pacemakers,

Facts About Otitis Media, Diagnosis of Otitis Media, Current Medical Management, Rationale for Chiropractic Care for Otitis Media, Research Regarding Manipulative Therapy for OM, Treatment Tools and Protocols for the Chiropractor, How to Learn More About Pediatrics,

Safety Studies for Pediatric Chiropractic Care, Why Children Need Chiropractic Care, Causes of a Joint Dysfunction in Children, Why Children Are Often Unaware of Joint Dysfunction, Unique Aspects of the Pediatric Spine, Modifying the Adjustment for the Child, Full-Spine Adjusting Techniques for Different Age Groups, Common Technique Mistakes when Adjusting Children,

Connecting with Resources, Suicide Risk Assessment and Referral, Knowledge About Suicide, Risk Factors & Warning Signs, Barriers to Assessment, Suicide Prevention,

Review of Upper Cervical Spine Radiographs, Identifying normal and abnormal structure, Analysis of Alignment,

Demonstration of over 20 advanced practical drills for NUCCA Adjustment to develop proficiency,

Alternative adjusting method in difficult cases, All steps and modifications required for each circumstance,

Doctor’s submit Pre/Post Adjustment Films prior to conference to be critiqued in this class, Discussion on improvements and Modifications necessary for each case,

Identifying anomalies & how it will affect treatment,

Indications of alignment prior to the post x-ray, Indications for need of new biomechanical X-rays,

Case studies presentation & discussion of biomechanical rationales for difficult cases, Doctors bring their own case studies to be reviewed, Biomechanical Rationale, X-ray Quality,

Current Research Projects by NUCCA Research Branch, Recent Completed Research Projects by NUCCA Research Branch, Future Research Projects by NUCCA Research Branch,

Searching for Journal articles to apply to everyday practice, Keywords, Mesh Terms, Saving search data, Open Access,

Keys to correcting the rotational component of the biomechanical problem at C1,

Practice session for advanced adjustors, Review of settle-back function, straight-away adjusting, unique stances for special cases,

Practical Instruction for intermediate and advanced doctors for placing patient on headpiece for adjustment,

Essentials of documentation for Upper Cervical Specific doctors, Care plan compliance, Daily SOAP notes, Audit Prevention,

Practice Session for intermediate and advanced doctors to hone their adjusting skills,

Evaluation a case’s percent restoration of biomechanical function, Consistency in Film Quality & Position, Consistency in Analysis, When to change directional application of force during adjustment for better results,

Reviewing Upper Cervical Radiographs, Identify normal and abnormal structure and analysis of alignment/biomechanics,

Indications of alignment prior to the post x-ray, Indications for need of new biomechanical X-rays,

Understanding how torque applied in the adjustment correct biomechanical dysfunction, How to introduce torque into the adjustment,

Case studies presentation & discussion of biomechanical rationales for difficult cases, Doctors bring their own case studies to be reviewed, Biomechanical Rationale,

Current Research Projects by NUCCA Research Branch, Recent Completed Research Projects by NUCCA Research Branch, Future Research Projects by NUCCA Research Branch,

Use of Post X-rays and determining when subsequent X-rays are necessary, X-ray use for better management of cases,

Doctors bring 2 cases from their practice for review of accuracy in film taking and analysis, Biomechanical Discussion,

Keys to correcting the rotational component of the biomechanical problem at C1,

Digital options for image capture CR & DR, Review of current Digital X-Ray Analysis systems and software to complete NUCCA X-ray analysis. Troubleshooting current software products,

Essential documentation, Telling the Patients Story, Care Plan Compliance, Daily SOAP notes simplified,

Development and practice of the skill of the adjusting portion of the NUCCA procedure, Hands on learning and practicing each phase with Board Certified instructors, Focusing on first half of all phases,

Development and practice of the skill of the adjusting portion of the NUCCA procedure, Hands on learning and practicing each phase with Board Certified instructors, Focusing on second half of all phases,

Review of Upper Cervical Spine Radiographs, Identifying normal and abnormal structure, Analysis of Alignment,

Outline of requirements to achieve Board Certification, Review of common errors in recent submissions, Biomechanics, Adjusting Headpiece, Technical Excellence,

Keys to correcting the rotational component of the biomechanical problem at C1, Keys to correcting rotational component of C2,

Proper X-ray Patient Positioning, X-ray Exposure Technique, Proper X-ray, Biomechanical analysis,

X-ray and schematic presentation of out of pattern four basic types of misalignments. Case studies presentation & discussion of biomechanical rationales for unusual cases, Lever systems and headpiece placement, Strategies & approaches

Current Research Projects by NUCCA Research Branch, Recent Completed Research Projects by NUCCA Research Branch, Future Research Projects by NUCCA Research Branch,

Neuroanatomy, Anatomy of brainstem cranial nerves, Intermedius nucleus and nucleus tractus solitaris, Mechanoreceptor influence, Affect of Upper Cervical Alignment on the pontomedullary reticular formation, Effect on Sympathetic Nervous System,

Use of resistance by headpiece, Creation of leverage for biomechanical correction,

Biomechanics, Adjusting Tips, Technical Issues Addressed,

Practice session for intermediate and advanced doctors,

Review of Upper Cervical Spine Radiographs, Identifying normal and abnormal structure, Analysis of Alignment,

Use of Post X-rays and determining when subsequent X-rays are necessary, X-ray use for better management of cases,

Review of X-rays submitted from the field, Biomechanical Analysis,

Development and practice of the skill of the adjusting portion of the NUCCA procedure, Hands on learning and practicing each phase with Board Certified instructors, Focusing on first half of all phases,

Outline of requirements to achieve Board Certification, Review of common errors in recent submissions, Biomechanics, Adjusting Headpiece, Technical Excellence,

Step by step process to write a Case Study, Introduction, Case Description, Discussion, Conclusion, Bibliography, Patient acceptance, IRB process, effective writing,

Doctors bring 2 cases from their practice for review of accuracy in film taking and analysis, Biomechanical Discussion,

Current Research Projects by NUCCA Research Branch, Recent Completed Research Projects by NUCCA Research Branch, Future Research Projects by NUCCA Research Branch,

Fine tuning the adjustment, Headpiece placement, instrumentation, examination, imaging and analysis,

Case studies presentation & discussion of biomechanical rationales for difficult cases, Doctors bring their own case studies to be reviewed, Biomechanical Rationale,

Development and practice of the skill of the adjusting portion of the NUCCA procedure, Hands on learning and practicing each phase with Board Certified instructors, Focusing on second half of all phases,

Common problems and solutions for the advanced doctor, Positioning of difficult cases,

Review of Upper Cervical Spine Radiographs, Identifying normal and abnormal structure, Analysis of Alignment,

Essential principles of biomechanics applied to the Upper Cervical Spine, Forces introduced, Lever systems used, Fulcrums, Reactive forces,

Development and practice of the skill of the adjusting portion of the NUCCA procedure, Hands on learning and practicing each phase with Board Certified instructors, Focusing on first half of all phases,

Outline of requirements to achieve Board Certification, Review of common errors in recent submissions, Biomechanics, Adjusting Headpiece, Technical Excellence

Radiographic findings, Cervical Spine, Normal Variants, Common Abnormalities & Diseases,

Essential principles of biomechanics applied to the Upper Cervical Spine, Forces introduced, Lever systems used, Fulcrums, Reactive forces,

Development and practice of the skill of the adjusting portion of the NUCCA procedure, Hands on learning and practicing each phase with Board Certified instructors, Focusing on second half of all phases,

Neuroanatomy, Anatomy of brainstem cranial nerves, Intermedius nucleus and nucleus tractus solitaris, Mechanoreceptor influence, Affect of Upper Cervical Alignment on the pontomedullary reticular formation, Effect on Sympathetic Nervous System,

Current Research Projects by NUCCA Research Branch, Recent Completed Research Projects by NUCCA Research Branch, Future Research Projects by NUCCA Research Branch,

Understanding how torque applied in the adjustment correct biomechanical dysfunction, How to introduce torque into the adjustment,

Pelvic Distortion in supine position, Neurological ramifications in relation to the Upper Cervical Spine,

Pelvic Distortion standing in the frontal and transverse planes, Neurological ramifications in relation to the Upper Cervical Spine,

Common problems and solutions for the advanced doctor, Positioning of difficult cases,

Development of Upper Cervical Specific Chiropractic over the decades, Differentiation of techniques, Differentiate biomechanical types of misalignments,

Pelvic Distortion in supine position, Neurological ramifications in relation to the Upper Cervical Spine,

Intro to Upper Cervical Biomechanics, Relationship between skull/atlas/lower cervical spine,

4 basic types of misalignments, biomechanics of each type,

Intro to Upper Cervical Biomechanics, Relationship between skull/atlas/lower cervical spine,

Intro to Upper Cervical Biomechanics, Relationship between skull/atlas/lower cervical spine,

Demonstration of patient positioning on headpiece for adjusting,

Development and practice of the skill of the adjusting portion of the NUCCA procedure, Hands on learning and practicing each phase with Board Certified instructors, Focusing on first half of all phases,

Setting patient in proper position for accurate analysis,

Current Research Projects by NUCCA Research Branch, Recent Completed Research Projects by NUCCA Research Branch, Future Research Projects by NUCCA Research Branch,

Proper patient positioning procedures,

Development and practice of the skill of the adjusting portion of the NUCCA procedure, Hands on learning and practicing each phase with Board Certified instructors, Focusing on second half of all phases,

Exercises & Drills to develop the physical skill of the upper cervical adjustment,

Etiology and Epidemiology, Transmission and Infection Control, Clinical manifestations and Treatment, Testing and Counseling, Legal and Ethical Issues, Psychosocial Issues including Special Populations, Bloodborne Pathogens, Lice, Scabies, Meningitis, Tuberculosis, SARS and influenza,