Podcast
Questions and Answers
What is an indication for spinal manipulation?
What is an indication for spinal manipulation?
- Muscle spasms
- Poor motor function
- Cervicogenic dizziness (correct)
- Tight muscle fibers
Photobiomodulation increases mitochondrial functions by up to 60%.
Photobiomodulation increases mitochondrial functions by up to 60%.
True (A)
What is the primary function of the Arpwave system?
What is the primary function of the Arpwave system?
Healing tissue and nervous system repair.
The primary wavelengths used in photobiomodulation for cell proliferation is around _____ nm.
The primary wavelengths used in photobiomodulation for cell proliferation is around _____ nm.
Match the therapy with its primary indication:
Match the therapy with its primary indication:
Which of the following tracts is NOT associated with proprioceptive input?
Which of the following tracts is NOT associated with proprioceptive input?
All treatments under the 'Rehab' section must be used in every patient's therapy session.
All treatments under the 'Rehab' section must be used in every patient's therapy session.
What is the primary purpose of using adjustments in the treatment process?
What is the primary purpose of using adjustments in the treatment process?
Muscle receptors such as 1a and 1b contribute to __________.
Muscle receptors such as 1a and 1b contribute to __________.
Match the therapy sections to their respective purposes:
Match the therapy sections to their respective purposes:
What is a potential risk of making adjustments without proper evaluation?
What is a potential risk of making adjustments without proper evaluation?
The subluxation theory indicates that joints in incorrect positions do not affect proprioception.
The subluxation theory indicates that joints in incorrect positions do not affect proprioception.
In how many minutes are the therapies under the 'Provider' section typically structured during a visit?
In how many minutes are the therapies under the 'Provider' section typically structured during a visit?
What role does the Vestibulocollic reflex (VCR) play in the response to vestibular input?
What role does the Vestibulocollic reflex (VCR) play in the response to vestibular input?
The Reticulospinal tracts are primarily responsible for facilitating voluntary muscle contractions.
The Reticulospinal tracts are primarily responsible for facilitating voluntary muscle contractions.
What does HEVM stand for?
What does HEVM stand for?
The _____ reflex fires cervical spine muscles in response to changes in neck position.
The _____ reflex fires cervical spine muscles in response to changes in neck position.
Match the following reflexes with their functions:
Match the following reflexes with their functions:
What is the recommended wavelength for deep tissue penetration in brain treatment?
What is the recommended wavelength for deep tissue penetration in brain treatment?
Red light is primarily used for deep pain and large muscles.
Red light is primarily used for deep pain and large muscles.
The _____ is the central processing center of all information in the dentatorubrothalamocortical tract.
The _____ is the central processing center of all information in the dentatorubrothalamocortical tract.
What is the effect of performing isometrics on one hand while doing complex movements on the other hand?
What is the effect of performing isometrics on one hand while doing complex movements on the other hand?
Match the following structures with their primary functions:
Match the following structures with their primary functions:
Complex movements are simple to perform but complex to master.
Complex movements are simple to perform but complex to master.
How long should nerve root areas be treated with IR and Red light therapy?
How long should nerve root areas be treated with IR and Red light therapy?
What is the main goal of using laser therapy in sensitive patients?
What is the main goal of using laser therapy in sensitive patients?
What is a primary indication for using Horizontal SNAG?
What is a primary indication for using Horizontal SNAG?
Hypertropia is a condition where both eyes are aligned at the same level.
Hypertropia is a condition where both eyes are aligned at the same level.
What should be observed when performing SNAGs on the cervical apophyseal joints?
What should be observed when performing SNAGs on the cervical apophyseal joints?
Use Virtualis for __________ minutes per session.
Use Virtualis for __________ minutes per session.
Match each therapy method with its primary use:
Match each therapy method with its primary use:
What is a common consequence of hypertropia when performing horizontal gaze stability?
What is a common consequence of hypertropia when performing horizontal gaze stability?
Vertical SNAG involves applying pressure to the C2 transverse process.
Vertical SNAG involves applying pressure to the C2 transverse process.
What type of eye condition is commonly associated with Traumatic Brain Injury (TBI)?
What type of eye condition is commonly associated with Traumatic Brain Injury (TBI)?
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Study Notes
Learning Objectives
- Understand the physiology behind various treatments.
- Recognize indications for each treatment and appropriate usage.
- Achieve proficiency in performing each treatment.
- Memorize key neural pathways:
- Spinocerebellar tracts (DSCT, VSCT, RSCT, CSCT)
- Dentatorubrothalamocortical tract
- Reticulospinal tracts (PRST, MRST)
- Vestibulospinal tracts (MVST, LVST)
Structuring Visits
- Initial 20 minutes focus on therapies under the "Rehab" section:
- Warmup and system activation
- Energy and healing phases
- Rehabilitation of one system
- Integration of multiple systems
- Subsequent 20 minutes involve "Provider" therapies:
- Physical modalities and fine-tuning
- Gyrostim/Virtualis integration
- Flexibility in the session structure allows for addressing specific patient needs.
Subluxation Theory
- Most CNS information originates from spinal surrounding muscles, influenced by gravity.
- Muscle receptors (1a and 1b fibers) are critical for proprioception.
- Subluxation represents a joint position error, leading to dysfunctional CNS input.
- Manual adjustments can restore input integrity and enhance neurological function.
- Differential diagnosis is essential, as altered muscle tone may indicate underlying issues (e.g., visual, vestibular dysfunction).
Manual Therapies
- Spinal Manipulation: Used for cervicogenic dizziness and segmental dysfunction through techniques like arthrostim and manual adjustments.
- Myofascial Therapy: Addresses tight muscle fibers and spasms using methods like pin/stretch or active release.
Arpwave
- Combines 245Hz direct current with 10,000Hz stimulation for deep tissue impact.
- Promotes tissue healing without disrupting normal sensorimotor function.
- Recommended for cervicogenic dizziness, pain, and impaired proprioception—apply to tolerance, aiming for stronger doses without causing muscle contraction.
Photobiomodulation
- Uses red wavelengths (630-640 nm) to enhance mitochondrial function by up to 60%.
- Adjust protocols based on tissue resonance frequencies for optimal treatment.
- Near-infrared (808 nm) penetrates deeper tissues, targeting nerves and brain.
HEVM Integration
- Combines somatic, vestibular, and ocular system movements to improve cervical stability, particularly in TBI patients.
- Engages vestibulocollic reflex (stabilizes head) and cervicocollic reflex (reacts to neck position changes).
- Modulates postural reflexes through reticulospinal and vestibulospinal pathways.
HEVM Applications
- Indications include cervicogenic dizziness and cervical dysfunction.
- Utilize gentle movements within affected zones and combine with small oculomotor activities.
Sustained Natural Apophyseal Glides (SNAGs)
- Useful for sensitive patients who resist manipulations.
- Horizontal and vertical SNAG techniques target cervical hypertonicity tied to decreased vestibular gain.
- Effective in treating cervicogenic dizziness and headaches, followed by adjusting the affected segment for biomechanical optimization.
Hypertropia
- A pathological condition where one eye is misaligned vertically, commonly seen in TBI.
- Address underlying hypertropia before engaging in gaze stability exercises to prevent dizziness.
- Treatment involves specific exercises targeting weak eye muscles.
Virtualis and Gyrostim Usage
- Virtualis: 10-20-minute sessions focusing on head-eye coordination and postural reflexes.
- Gyrostim: 10-20 minutes incorporating sinusoidal movements for gaze stability, supplemented with other therapeutic protocols to enhance eye muscle functionality.
Complex Movements Application
- Complex movements act as cerebellar exercises stimulating various brain regions—an essential element of rehabilitation.
- Passive isometric movements can help reduce cerebellar activity on one side while engaging the opposite side.
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