THE ASSOCIATION Fun To Learn More IS HAPPY TO PRESENT A COURSE ON FUNCTIONAL NEUROLGY IN SWITZERLAND PRESENTED BY THE NEUROSEMINARS ORGANISATION.

Transcription

1 THE ASSOCIATION Fun T Learn Mre IS HAPPY TO PRESENT A COURSE ON FUNCTIONAL NEUROLGY IN SWITZERLAND PRESENTED BY THE NEUROSEMINARS ORGANISATION. Functinal neurlgy is nt a new technique, it is the clinical applicatin f up-t-date neurscience and neurphysilgy that yu can apply t all f yur patients regardless f the type f practice yu have r the techniques yu use. One f ur main gals is t develp f grup f practitiners wh are cmmitted t learning and putting the material int practice, first the basics and then mre cmplex clinical applicatins. The first 4 mdules that will be taught in 2015 will prvide yu with the basic knwledge needed t start integrating functinal neurlgy int everyday clinical practice. In the fllwing years, the aim is t rganize further seminars n mre specific aspects f neurnal dysfunctin, which include relevant live patient demnstratins. Fr this reasn, peple signing up fr the 4 mdules in advance will be given pririty ver thse wh nly register fr ne mdule. The speakers and the rganizer agree n the prject t create a dynamic team f practitiners sharing this cmmn gal. A new way t diagnse and treat familiar cmplaints Neurlgy has been at the heart and ne f the rt f the Chirpractic prfessin since its very beginning. But it s nly in recent years that advances in clinical neurscience have allwed practitiners t truly understand hw treatments affect the nervus system; and hw this effect can restre and preserve gd structure and functin within the musculskeletal system. Althugh neur-anatmy and neurlgy frm a substantial part f the chirpractic undergraduate curriculum, very few chirpractrs use this knwledge in the day-t-day treatment f their patients. Instead, it tends t be used slely t rule ut grss neurlgical pathlgy. Functinal imbalances within the brain frequently cause r cntribute t patients' presenting cmplaints. Fr example, they can cause; Muscle imbalance and muscle weakness patterns. Cerebellar dysfunctin, fr instance, can prduce spinal intrinsic muscle weakness and spinal instability that des nt respnd well t segmental adjusting alne. Having the ability t detect and treat the underlying cause f yur patient's prblems will help yu t prevent recurrences. Altered angulatins f peripheral jints. This predispses t peripheral entrapment neurpathies and cnditins such as impingement syndrme, tennis elbw, IT-band syndrme, plantar fasciitis etc. Autnmic dysregulatin, such as increased bld pressure, tachycardia, cardiac arrhythmia, reduced xygen perfusin and ther symptms assciated with increased activity f the sympathetic nervus system. Increased sympathetic activity is assciated with increased sensitisatin t pain and chrnic pain states. This, cupled with reduced xygen perfusin, hinders recvery frm injury and predispses t lng-term pain and disability. Reduced jint psitin sense. This can increase the likelihd f injury and impair healing capacities after injury. Develpmental delay syndrmes, such as ADD, ADHD, dyslexia and

2 dyspraxia. While nt a presenting cmplaint that ccurs ften fr chirpractrs, brain imbalances are als the primary cause f depressin and anxiety. Functinal neurlgical testing skills nt nly help in yur assessment f patients, they re als an invaluable, quick and simple means f pre- and pst-testing t bjectively evaluate the effectiveness f yur treatments. Furthermre, they prvide an pprtunity fr yur patients t see and understand hw treatment can have an immediate effect. Fr example, patients regularly sway significantly n Rmberg s test and are unable t accurately tuch the tip f their nse with their eyes clsed befre treatment. After treatment, they are generally very impressed that they can stand perfectly still with their feet tgether and accurately tuch the tip f their nse (again, with eyes clsed). Benefits t yu By being able t understand and effectively treat cmplaints caused by brain imbalances, yu pen up an extra ptential client base, as well as adding mre variety t yur wrk. Thse days f treating nly rutine neck, back and shulder prblems can becme a thing f the past. The use f functinal neurlgy can help; Deal with muscle imbalances, spinal instability, altered spinal curves and persistent head tilts/head rtatins caused by cerebellar r ther functinal brain imbalances. Avid undesirable side effects f treatment, such as excessive sreness, headaches, nausea r light-headedness. Speed up recvery fr bth yur acute and chrnic pain patients by maximizing the brain s capacity t mdulate pain. Address brain imbalances using yur existing techniques. Prvide nvel treatment interventins, including cupled-mtin adjusting, fast-stretching, vestibular stimulatin, as well as varius physical and mental exercises that are designed t activate different regins f the brain. Emphasis n clinically-relevant applicatins Our seminars are deliberately designed t be an intrductin t the practical side f functinal neurlgy. We dn t expect yu t sit thrugh hurs f nn-clinically relevant lecturing while yu fight t stay awake. A significant prtin f time is set aside fr "hands-n" applicatin f the material being taught; giving yu the pprtunity t practice as yu learn. The main fcus is n practical applicatins, i.e. the clinical skills needed t use functinal neurlgy in the assessment and treatment f yur patients. Clinical neurlgical examinatin techniques will be cvered in detail, s yu can bserve hw a diagnsis is frmed. There ll be discussins and demnstratins f the mst apprpriate treatments fr the neurlgical disrder in questin. In additin, suitable utcme measures will be presented t evaluate the effectiveness f treatment interventins. All seminars are interactive, with numerus practical sessins thrughut the day t develp yur newly learnt clinical skills. Delegate numbers are limited t ensure that each individual receives sufficient attentin during the practicals. Yu ll gain a better appreciatin f hw what yu d wrks (r in sme instances desn't wrk), and n a brader scale, why chirpractic and manual therapy in general are s successful fr the majrity f patients. We ve already had attendees frm Switzerland, Italy, Spain, Sweden, Nrway, Netherlands, Isle f Man, Ireland and Sctland; we d be delighted t welcme yu t. N prir knwledge f functinal neurlgy will be assumed and the seminars are pen t bth practitiners and students. Fr thse f yu wh have studied functinal neurlgy previusly, these seminars will help cnslidate yur existing knwledge and assist yu in applying it clinically in everyday practice. Thank yu fr taking the time t read this letter; whether r nt yu chse t jin us, I wish yu cntinued success with yur practice.

3 Spinal Crd & Brainstem Influences n Muscle Tne and Psture (seminar 1) Date: Sunday march 8 th 2015 Neurlgy has been at the heart f the Chirpractic prfessin since its very beginning. But it is nly in recent years that advances in clinical neurscience have allwed us t truly understand hw ur treatment affects the nervus system; and hw this effect allws us t restre and preserve gd structure and functin within the musculskeletal system. Althugh neuranatmy and neurlgy frm a substantial part f the chirpractic undergraduate curriculum, very few chirpractrs use this knwledge in the day-t-day treatment f their patients; it tends t be used slely t rule ut grss neurlgical pathlgy. This seminar will intrduce yu t the practical aspects f functinal neurlgy fcusing n brainstem, spinal crd and peripheral nerve mechanisms. Hw t treat rtatr cuff impingement, tennis elbw, IT-band syndrme and plantar fasciitis mre specifically and mre effectively. Hw t treat the underlying cause and thus help prevent recurrence f these cnditins. Hw t manage cervical and lumbar radiculpathies as well as peripheral entrapment neurpathies mre successfully. Hw t deal with muscle imbalances, spinal instability, altered spinal curves and abnrmal head psture caused by cerebellar r ther functinal brain imbalances. Hw t avid undesirable side effects f treatment, such as excessive sreness, headaches, nausea r light-headedness. Yu will learn the basic principles f hw neurns wrk, why it is imprtant t respect their metablic capacity, and why smetimes it might be better t adjust a finger rather than C1 in a neck pain patient. Hw t address brain imbalances using yur existing techniques. Nvel treatment interventins, including cupled-mtin adjusting, fast-stretching, vestibular stimulatin, as well as varius physical and mental exercises that are designed t activate different regins f the brain.

4 The Cerebral Crtex, Basal Ganglia & Limbic System (seminar 2) Date: Saturday May 2 nd 2015 Over recent years it has becme mre and mre evident that the clinical benefit assciated with manual therapy is nt simply related t lcal segmental respnses. Instead, a majr therapeutic rle is nw attributed t activatin f the central nervus system (Pickar and Bltn, 2012; Schmid et al, 2008). The cerebral crtex and subcrtical regins (e.g. basal ganglia, limbic system and thalamus) have a majr influence n muscle tne, psture and pain prcessing. Crtical imbalances, therefre, are ften the underlying cause f the cnditins we successfully treat n a day-t-day basis. Specifically treating the brain dysfunctin in additin t any segmental jint and muscle abnrmalities is likely t maximise the ptential treatment respnse and help prevent early relapse. Understanding and treating accrding t the patient's central neurlgical dysfunctin will als reduce undesirable side effects f treatment, such as sreness, headache r dizziness; these can be the result f exceeding the patient's neurnal metablic capacity r wrsening the functinal imbalance within their central nervus system. This seminar will teach yu hw t assess fr and treat dysfunctin at a crtical and subcrtical level, thus allwing yu t treat the brain imbalances that nearly all f yur patients have mre purpsely and with greater specificity. It will als help yu t understand varius cnditins assciated with crtical / subcrtical dysfunctin, such as ADD, depressin, dyspraxia and dystnia, and why such cnditins ften imprve with manual therapy.

5 (seminar 2) Hw t imprve yur assessment and treatment f brain dysfunctin with emphasis n the cerebral crtex, basal ganglia and limbic system. Review f the effects f jint manipulatin and ther manual therapies n brain functin. Review f the effects f brain dysfunctin n the musculskeletal system. Hw dysfunctin at a crtical and subcrtical level has a majr influence n pain sensitivity and pain tlerance. Intrductin t specific cnditins affecting crtical and subcrtical regins, including depressin, anxiety, dyslexia, dyspraxia, attentin deficit disrder, epilepsy and dystnia. Assessment and treatment f 'subclinical' disrders f crtical and subcrtical regins, such as wrd finding difficulties, prblems remembering names r recgnising faces, pr navigatinal skills, sensry abnrmalities, light r sund sensitivity, mtr r vcal tics, perfectinist r bsessive tendencies, mild reading difficulties and varius frntal lbe prblems listed under the next bullet pint. Use f specific eye mvement exercises t: change abnrmal head tilts/rtatins imprve spatial awareness f different bdy parts in rder t increase cnscius prpriceptin and reduce pain imprve the reading ability f peple in whm ften undiagnsed culmtr prblems are causing 'dyslexic' tendencies help rehabilitate frntal lbe prblems, such as pr cncentratin r attentin, difficulty learning new infrmatin, emtinal prblems, behaviural disturbances, mtivatin issues and frward thinking difficulties Blind-spt testing as a windw int crtical functin and an utcme measure f therapeutic interventins. Use f light, sund and smell as therapeutic mdalities. Lw-tech physical and cgnitive exercises t address specific patterns f brain dysfunctin. Cmputer prgramms and smart phne/tablet apps that can be used t rehabilitate different brain areas.

6 Headaches & Pain - A Functinal Neurlgical Apprach (seminar 3) Date: Sunday September 27 th 2015 Fr mst manual therapists, the rle f neurlgy in the diagnsis and treatment f headache disrders is largely cnfined t ruling ut serius pathlgy. Althugh there generally exists an awareness that the trigeminal pain pathway plays a majr rle in headache disrders, very few practitiners knw hw t apply this cncept clinically beynd simply treating aberrant cervical spine and TMJ bimechanics. This seminar will acquaint yu with the mechanisms underlying varius headache disrders. It will als teach yu hw t treat in a way that will prvide quicker and lnger lasting results fr yur headache patients. Hw anything frm a painful neck muscle t dry eyes, sinus prblems, Asthma r heartburn can cntribute t headaches thrugh sensitisatin f the trigeminal pain pathway. Why adjusting an upper cervical spinal fixatin can smetimes alleviate a headache, but at ther times can make it much wrse. Yu will learn hw t detect and manage mechanical alldynia and hw t treat a patient apprpriate t their brain imbalance and neurnal metablic capacity. What crtical spreading depressin is; hw it relates t migraine, and hw t prevent it frm happening. Why treating functinal deficits f the cerebellum and brainstem is vitally imprtant when dealing with headache patients and pain patients in general. Central pain mdulatin and especially its applicatin t clinical practice will be explred in detail. Hw t address functinal neurlgical prblems using yur existing techniques. Nvel treatment interventins, including cupled-mtin adjusting, fast-stretching, vestibular stimulatin, as well as varius physical and mental exercises that are designed t activate different regins f the brain.

7 Whiplash & Mild Traumatic Brain Injury A Functinal Neurlgical Apprach (seminar 4) Date: Sunday Nvember 29 th 2015 Patients frequently seek the help f chirpractrs, stepaths and physitherapists after sustaining a whiplash injury. Rather cmmnly 'cervical sprain/strain' is diagnsed and the true extent f the whiplash assciated disrder remains unexplred, undcumented and frequently untreated. This seminar will help yu better understand the bny, sft tissue and neurlgical injuries that can ccur thrugh a whiplash injury and will prvide yu with the knwledge and tls t effectively treat these injuries t the best pssible extent. Sft tissue injury and alteratin f spinal bimechanics after whiplash. The assciatin f whiplash with mild traumatic brain injury (mtbi). Cmmn peripheral and central neurlgical manifestatins f whiplash assciated disrder. What questins t ask and what examinatin prcedures t perfrm t avid missing ften subtle neurlgical cmprmise that can have lng-term detrimental effects n the patient's life. Why peple wh have suffered a whiplash injury are ften grumpy, unable t cncentrate and frequently have difficulty sleeping fr weeks after the injury - and it is nt slely related t being angry abut the damage t their car r the stress f having t deal with insurance cmpanies. Why it is nt uncmmn fr brand new symptms t appear several weeks after the whiplash injury, e.g. lw back pain, dizziness r paraesthesia. Factrs that help predict recvery times and lng-term utcme (with literature references) - very useful when arguing a medic-legal reprt. Therapies t treat whiplash and mtbi, including physical mdalities, tissue fflading, prpriceptive and vestibular rehabilitatin, and cgnitive therapies. Nutritinal appraches and ther strategies t reduce neural inflammatin in whiplash and mtbi. Practicals thrughut the day will prvide pprtunity t learn examinatin and treatment prcedures, and varius case studies will help t put the material int clinical cntext.