Although neuroanatomy and neurology form a substantial part of the chiropractic undergraduate curriculum, very few chiropractors use this knowledge in the day-to-day treatment of their patients; it tends to be used solely to rule out gross neurological pathology. The aim of NeuroSeminars is to introduce more chiropractors and other practitioners of manual therapy, such as osteopaths and physiotherapists, to the practical aspects of functional neurology.
Welcome to NeuroSeminars
Neurology has been at the heart of the Chiropractic profession since its very beginning. But it is only in recent years that advances in clinical neuroscience have allowed us to truly understand how our treatment affects the nervous system; and how this effect allows us to restore and preserve good structure and function within the musculoskeletal system. Although neuroanatomy and neurology form a substantial part of the chiropractic undergraduate curriculum, very few chiropractors use this knowledge in the day-to-day treatment of their patients; it tends to be used solely to rule out gross neurological pathology. The aim of NeuroSeminars is to introduce more chiropractors and other practitioners of manual therapy, such as osteopaths and physiotherapists, to the practical aspects of functional neurology.
Chiropractors excel in their ability to detect subtle differences in musculoskeletal structure and function, for example through muscle testing, feeling for joint restrictions and checking for leg length discrepancies. Our seminars will teach you how to transfer these same skills to neurological testing. Functional imbalances within the brain frequently cause or contribute to patients' presenting complaints. For example they can cause:
Muscle imbalances and muscle weakness patterns. Cerebellar dysfunction, for instance, can produce spinal intrinsic muscle weakness and spinal instability that does not respond well to segmental adjusting alone. Having the ability to detect and treat the underlying cause of your patient's problems will help you to prevent recurrences.
Altered angulations of peripheral joints. This predisposes to peripheral entrapment neuropathies and conditions such as impingement syndrome, tennis elbow, IT-band syndrome, plantar fasciitis etc.
Autonomic dysregulation, such as increased blood pressure, tachycardia, cardiac arrhythmia, reduced oxygen perfusion and other symptoms associated with increased activity of the sympathetic nervous system. Increased sympathetic activity is associated with increased sensitisation to pain and chronic pain states. This, coupled with reduced oxygen perfusion, hinders recovery from injury and predisposes to long-term pain and disability.
Reduced joint position sense. This will increase the likelihood of injury and impair healing after injury.
Developmental delay syndromes, such as ADD, ADHD, dyslexia and dyspraxia.
You will learn how to address functional imbalances within the brain using your existing techniques; but you will also be shown new treatment interventions, such as fast-stretch adjusting, coupled-motion adjusting, vestibular stimulation, as well as various physical and mental exercises which are designed to activate different regions of the brain. Our seminars will provide you with a better understanding of the deeper causes of pain and dysfunction, allowing you to tailor your treatment more closely to the individual patient.
You will gain a better appreciation of how what you do works (or in some instances doesn't work), and on a broader scale why chiropractic and manual therapy in general are so successful for the majority of patients.
Functional neurological testing skills will help you in your assessment of new patients; but they are also an invaluable quick and simple means of pre- and post-testing to objectively evaluate the effectiveness of your treatments - patients like it a lot when they swayed on Romberg's before treatment, but stood perfectly still after.
All seminars will be interactive with numerous practical sessions throughout the day to develop your newly learnt clinical skills. Delegate numbers are limited to ensure that each individual receives sufficient attention during the practicals. Practitioners and students of all regulated manual therapy disciplines are welcome.
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- Module 1
- Module 1 + Module 2 + Module 3
- Moduł 4 + Moduł 5
- Module 6 + Module 7
- Module 8
How to treat rotator cuff impingement, tenis, elbow, IT-band syndrom and plantar fasciitis more specifically and more effectively. How to treat the underlying cause and thus help prevent recurrence of these conditions.
How to manage cervical and lumbar radiculopathies as well as peripheral entrapment neuropathies more successfully
How to deal with muscles imbalances, spinal instability, altered spinal curves and abnormal head posturę caused by cerebellar or other functional brain imbalances.
How to avoid undesirable side effects od tretament, such as excessive soreness, headaches, nausea or light-headedness. You will learn basic principles of how neurons wokr, why it is important to adjust a finger rather than C1 in a neck pain patient.
How to adress brain imbalances using your existing techniques.
Novel treatment intervention, including coupled-motion adjusting, fast-stretching, vestibular stumilation, as well as various physical and mental exercises taht are designed to activate different regions od the brain
Module 1 + Module 2 + Module 3
Module 1. Course Content:
Module 2. Course Content:
· Why treating functional deficits of the cerebellum, vestibular system and brainstem is vitally important when dealing with any patient in pain. We will discuss in detail how to maximize the nervous system's ability to modulate pain, and how to avoid further pain sensitization.
· How anything from a painful neck muscle to dry eyes, sinus or TMJ problems, Asthma or heartburn can contribute to headaches through sensitisation of the trigeminal pain pathway.
· Why adjusting an upper cervical spinal fixation can sometimes alleviate a headache, but at other times can make it much worse. We will discuss how to detect and manage mechanical allodynia and how to treat a patient appropriate to their brain imbalance and neuronal metabolic capacity.
· What cortical spreading depression is; how it relates to migraine, and how to prevent it from happening.
· Nutritional strategies for headache, migraine and chronic pain patients.
· How to address functional neurological problems using your existing techniques.
· Novel treatment interventions to address brain imbalances, including coupled-motion adjusting, fast-stretching, proprioceptive- and vestibular stimulation. Various physical and mental exercises designed to activate different regions of the brain will be explained and demonstrated.
· We will also show you sinus release techniques, which are invaluable for many headache patients.
Module 3. Course Content:
· How to improve your assessment and treatment of brain dysfunction with emphasis on the cerebral cortex, basal ganglia and limbic system.
· Review of the effects of joint manipulation and other manual therapies on brain function.
· Review of the effects of brain dysfunction on the musculoskeletal system.
· How dysfunction at a cortical and subcortical level has a major influence on pain sensitivity and pain tolerance.
· Introduction to specific conditions affecting cortical and subcortical regions, including depression, anxiety, dyslexia, dyspraxia, attention deficit disorder, epilepsy and dystonia.
· Assessment and treatment of 'subclinical' disorders of cortical and subcortical regions, such as word finding difficulties, problems remembering names or recognising faces, poor navigational skills, sensory abnormalities, light or sound sensitivity, motor or vocal tics, perfectionist or obsessive tendencies, reading difficulties and various frontal lobe problems listed under the next bullet point.
· Use of specific eye movement exercises to:
o change abnormal head tilts/rotations
o improve spatial awareness of different body parts in order to increase conscious proprioception and reduce pain
o improve the reading ability of people in whom often undiagnosed oculomotor problems are causing 'dyslexic' tendencies
o help rehabilitate frontal lobe problems, such as poor concentration or attention, difficulty learning new information, emotional problems, behavioural disturbances, motivation issues and forward thinking difficulties
· Blind-spot testing as a window into cortical function and an outcome measure of therapeutic interventions.
· Use of light, sound and smell as therapeutic modalities.
· Low-tech physical and cognitive exercises to address specific patterns of brain dysfunction.
· Computer programmes and smart phone / tablet apps that can be used to rehabilitate different brain areas.
Moduł 4 + Moduł 5
Module 4. Course Content:
· Soft tissue injury and alteration of spinal biomechanics after whiplash and mild traumatic brain injury.
· Common peripheral and central neurological manifestations of head and neck injuries.
· The three pathophysiological subtypes of concussion as described in recent indexed scientific literature, which will help direct your treatment and formulate a more accurate prognosis.
· What questions to ask and what examination procedures to perform to avoid missing often subtle neurological compromise that can have long-term detrimental effects on the patient's life.
· Why people who have suffered a head/neck are often grumpy, unable to concentrate and frequently have difficulty sleeping for weeks after the injury - and it is not solely related to being angry about the damage to their car or the stress of having to deal with insurance companies.
· Why it is not uncommon for brand new symptoms to appear several weeks after a whiplash injury, e.g. low back pain, dizziness or paraesthesia.
· Factors that help predict recovery times and long-term outcome (with literature references) - very useful when arguing a medico-legal report.
· Therapies to treat acute and chronic head and neck injuries, including physical modalities, tissue offloading, proprioceptive and vestibular rehabilitation, and cognitive therapies.
· Nutritional approaches and other strategies to reduce neural inflammation in whiplash and mild traumatic brain injury.
· Practicals throughout the day will provide opportunity to learn examination and treatment procedures.
Module 5. Course Content:
· Review of the cerebellum, vestibular system as well as vestibulospinal, vestibulo-ocular and vestibulo-autonomic projections.
· How to assess for proprioceptive, vestibular and ocular abnormalities without spending thousands on high-tech equipment.
· How to assess and treat various different causes of head tilt and other abnormal head or body posturing.
· Why spinal dysfunction or pain that develops as a consequence of vestibular-induced postural or muscle imbalances is unlikely to respond to adjusting alone and usually requires vestibular rehabilitation to achieve more complete recovery.
· Why adjusting to reduce spinal stiffness in the presence of vestibular dysfunction frequently produces greater post-treatment pain and sensations of disequilibrium, vertigo or dizziness.
· A detailed approach to specific individualized vestibular and proprioceptive rehabilitation that does not over-stimulate the patient, cause unpleasant side effects or take up hours of their day.
· Assessment & treatment considerations for specific conditions:
o Benign Paroxysmal Positional Vertigo (BPPV)
o Cervicogenic vertigo
o Vestibular migraine
o Motion/travel sickness
o POTS (positional orthostatic tachycardia syndrome)
o Visual vertigo (e.g. supermarket aisles, watching fast-moving objects or movement on screens)
· Why vestibular stimulation is incredibly valuable for patients with a wound-up sympathetic nervous system.
· The association between vertigo/balance disorders and anxiety.
· Various case studies to help put the material into clinical context.
Module 6 + Module 7
Module 6 . Course Content:
Comprehensive review of the functional roles of the basal ganglia and cerebellum within the motor system.
The concept of surround inhibition for fine motor control.
Neurological wind-up as a consequence of basal ganglionic and cerebellar cortex dysfunction; how this can adversely affect patients both neurologically and in terms of their general health, how this manifests clinically, and how to manage it.
How proprioceptive deficits and central sensory processing problems interfere with proper control and coordination of movement, and how this contributes to musculoskeletal and movement disorders.
Musculoskeletal consequences, abnormal movement patterns and injury susceptibility related to basal ganglionic and cerebellar dysfunction.
How to rehabilitate fine motor control and movement timing with easy-to-prescribe no-tech exercises.
Cognitive consequences of basal ganglionic and cerebellar dysfunction, and how this relates to conditions such as anxiety, OCD, depression and various childhood developmental disorders.
Treatment strategies for hyperkinetic movement disorders, including surround inhibition training, specific sensory afferentation, sensory tricks and visuo-sensory therapy.
Special considerations for cervical dystonia. The Parkinson's patient - strategies to preserve their functional capacity for as long as possible.
Movement necessitates postural stabilisation. Whether a person is simply walking, working on a computer, performing household activities or participating in high-level sports, appropriate stabilisation of the moving joints and the body as a whole is required to prevent falls, injuries and loss of strength for the movement in question.This seminar will discuss dynamic postural stabilisation in detail and show you how to assess and rehabilitate it. We will also explore how to determine whether the neurological imbalances you find in a patient are likely to be significantly contributing to their musculoskeletal condition; this will help you to distinguish between the musculoskeletal patients who simply require the 'usual' chiropractic approach and those who require more specific neuro-rehabilitation
Dynamic postural stabilisation:
The relationship between postural stabilisation and musculoskeletal injury
Assessment of the systems involved and how to train them to function better - sensory, motor and central sensorimotor integration and processing
Rehabilitation of neurologically-mediated dynamic postural destabilisation
Falls in the elderly: causes, prevention and rehabilitation strategies
How to determine whether or not the neurological imbalances you find in a patient are contributing to their musculoskeletal problem: The concept of neurological challenges in motor assessments
The material is relevant to a broad spectrum of paediatric patients; from babies with feeding and gastrointestinal dysfunction, children with postural and coordination problems, to children with learning disorders. Delayed development is common, affecting 10% of children born in the last decade. In addition to teaching you the clinical skills needed to treat these conditions, we will provide you with the understanding and the 'language' that will enable you to effectively communicate with parents and teachers. We explores the cortical dysfunction in Dyspraxia, ADD, ADHD (and its subgroups), Dyslexia, Tourette's syndrome, OCD and mild to moderate Autistic Spectrum Disorders
The key learning objectives are:
What is different about the brains of children with learning and developmental disorders.
How to assess this from baby-age onward so that you can identify problems early.
Ways to promote brain development with manual therapies, neuro-rehabilitative exercises, hemispheric integration and nutritional advice.
Predisposing factors for neurological developmental delay.
The functional neurological assessment for child development and learning disorders to localise regions of brain dysfunction.
The effects of manual therapies on the developing brain.
Primitive or retained reflexes, and what they tell us.
4 ways to overcome a retained reflex.
Consideration of metabolic and immune factors.
Hemispheric imbalances or functional disconnects in ADD, ADHD, dyspraxia, dyslexia, Tourette's syndrome, OCD and ASD.
Putting this together with case studies to create a treatment programme, which includes:
Computer programmes and APPs
Co-management with other health care professionals
And (rather importantly) how to manage and help their parents.
V súčasnosti nie je vydané žiadne školenie. Ak máte záujem nechajte nás kontaktovať. Upozorníme vás, keď sa objaví nové vydanie.
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