TOP Education s 2018 Synergy Conference
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1 TOP Education s 2018 Synergy Conference Subluxation Anatomy for CAs 1 CEU Presented By: Mark A. Davini, DC, DABCN
2 Please scan IN at the start of class Please scan OUT at the end of class You must attend the entire session to earn your credit(s) for this class
3
4 Chiropractor 1. Doctor of Chiropractic (D.C.) 2. Chiropractor 3. Chiropractic Physician No such words as: Chiropractry Chiropractics Chiropracty (c) 2017 TOP Education LLC 4
5 Science, Art and Philosophy All Professions: Science Art Philosophy Anatomy and physiology of the human body. Techniques of location & removing subluxations. The belief the body has the power to heal itself. (c) 2017 TOP Education LLC 5
6 Adjustment Manipulation Mobilization Chiropractic Manipulative Therapy (CMT) Adjustment Manipulation CMT Mobilization Treatment procedure to remove/reduce subluxations of the spine and associated structures Common synonym for adjustment, also used by Osteopaths Medicare's term for adjustment Chiropractic Manipulative Therapy General movement of joints commonly performed by P.T.s (c) 2017 TOP Education LLC 6
7 Adjustment Techniques Osseous - Manual - commonly popping Mechanical -Drop Tables - specialized table Instrument -Impact Devices - specialized tools Soft tissue -Pressure Protocols - with breathing assist Above may be utilized with varied amounts of force from low to high. (c) 2017 TOP Education LLC 7
8 Spine Area # of Segments Designation Cervical 7 C1 to C7 Thoracic 12 T1 to T12 Lumbar 5 L1 to L5 Sacral fused 5 S1 to S5 Coccyx 2 to 4 Total 31 to 33 (c) 2017 TOP Education LLC 8
9 Vertebral Anatomy 1. Processes (projection of bone) Spinous Process Transverse Process 2. Vertebral Body 3. Facet joints 4. Intervertebral Disc (k) Nucleus Pulposus Gelatin Center Annulus Fibrosis Outer rings 5. Foramen (openings) Spinal Canal Inter-vertebral Foramen (IVF) (c) 2017 TOP Education LLC 9
10 Vertebral Anatomy (c) 2017 TOP Education LLC 10
11 Vertebral Anatomy (c) 2017 TOP Education LLC 11
12 Vertebral Anatomy Herniated Disc = (Displacement of disc material beyond the interspace.) Protruded (contained), (slipped) Extruded (non-contained), (ruptured) The term prolapse has been use to refer to either without specifying which one and therefore is too ambiguous. Best to avoid use of the term prolapse altogether. (c) 2017 TOP Education LLC 12
13 Vertebral Anatomy (c) 2017 TOP Education LLC 13
14 Vertebral Anatomy (c) 2017 TOP Education LLC 14
15 Vertebral Anatomy (c) 2017 TOP Education LLC 15
16 Types of Chiropractic Patient Management Health/Maintenance Care Health/Maintenance Care does not routinely utilize Supportive Therapies (c) 2017 TOP Education LLC 16
17 Types of Chiropractic Patient Management Disease/Condition Treatment Disease/Condition Treatment commonly utilizes Supportive Therapies & Procedures. (c) 2017 TOP Education LLC 17
18 Health v. Disease/Condition Health is the optimal physical, mental, and social well-being; not simply the absence of disease/condition Disease/Condition (lack of ease) an organ or system that has a loss of physiological balance (homeostasis) causing malfunction, i.e. functions too much or too little (c) 2017 TOP Education LLC 18
19 Five Aspects of Health 1. Rest 2. Exercise 3. Nutrition 4. Positive Mental Attitude 5. Sound Nervous System (c) 2017 TOP Education LLC 19
20 Nervous System 1. Master Controller of all other aspects of the body 2. Function is to maintain balance (homeostasis) 3. Interference results in too much or too little function (c) 2017 TOP Education LLC 20
21 1. Misaligned vertebra 2. Causing nerve interference 3. Resulting in altered function Altered function means too much or too little, i.e. dis-ease/condition (c) 2017 TOP Education LLC 21
22 Five Components of a Subluxation 1. Joint movement too much or too little 2. Muscle movement too much or too little 3. Hard tissue Wear & Tear too much or too little 4. Soft tissue Wear & Tear too much or too little 5. Nerve interference too much or too little Chiropractic Adjustments treat all five components. Supportive Therapies assist the Chiropractic Adjustment in treating one or more of the five components of a subluxation. If Supportive Therapies are extensively utilized without a Chiropractic Adjustment it approaches Physical Therapy. (c) 2017 TOP Education LLC 22
23 Phases of Condition Treatment Phase Stage Treatment Function Relief Acute most pain, therapies, frequent least Therapeutic Repair less pain, therapies, frequency improved Rehabilitative Healing little to no pain, no modalities, some therapeutic procedure, less frequent near normal Supportive Chronic MMI, no therapies, regular full Phase of Condition Treatment is defined by the DC May determine if the services are bundled or unbundled. (c) 2017 TOP Education LLC 23
24 Web Site: toolsofpractice.com Contact: 24
25 Please scan OUT as you leave If you are staying in this classroom for the next session you must have your badge scanned OUT for this session and scanned IN for the next session Thank you! Mark & Paul
26 Some of our Synergy teachers are making their presentations and other materials available for download at the conclusion of the weekend.
27 TOP Education, the instructors teaching on behalf of TOP Education are here this weekend to educate. They are not representatives nor speak on the behalf of any particular government entity, insurance company or TOP Education, LLC. Any specific discussions are for example purposes only. All specific policy or procedure questions should be directed to the entity that authors those policies
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