GONSTEAD A (Basic) SYLLABUS. 3.5 UNITS, 60 HOURS (2 hour lecture, 3 hours lab per week)

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1 QUARTER: WINTER 2013 GONSTEAD A (Basic) SYLLABUS NAME OF COURSE: Gonstead A (Basic) Tech 211 LENGTH OF COURSE: 3.5 UNITS, 60 HOURS (2 hour lecture, 3 hours lab per week) COURSE DESCRIPTION: Gonstead A (Basic) provides an introduction to the history of Dr. Clarence Gonstead and the technique he developed. The course includes instruction in the basic concepts of the balanced pelvic structure and level spinal discs. It is based on analysis of the patient using; skin temperature instrumentation; static and motion palpation, visualization, inspection and radiographic line marking and analysis. It includes specific analysis and corrective adjustment procedures for the entire spine with basic patient case management. The course has the following lecture and laboratory components. Lecture: Basic Gonstead Concepts: Level Disc Concept Nervoscope/Go-Scope Heat Measuring Methods Visual, Static and Motion Palpation Indicators Full Spine X-ray Marking and Misalignment Listing System: Coccyx, Sacrum, Ilium, Measured Deficiency (MD) and Actual Deficiency (AD) (Leg- Femur), Lumbar, Thoracic, Cervical and Occiput. Basic Patient Management Laboratory: Basic Full Spine Adjusting: Pelvic (Coccyx, Sacrum and Ilium), Lumbar, Thoracic and Cervical using the Pelvic Bench, Knee Chest Table and Cervical Chair. PREREQUISITES: Diversified Tech 130/630 COURSE OFFERED BY: Technique/Analysis Department Bruce Chester, D.C., Department Chair DEPARTMENT OBJECTIVE: To give to our students, freely and out of abundance, the best of our knowledge and skills. To develop the most talented of chiropractors that they may with skill, both find and correct the vertebral subluxation. To do this for the overall betterment, health, and well-being of their patients and the world. COURSE INSTRUCTORS: Dr. George Casey (Lecture and Lab) Voic ext gcasey@lifewest.edu Dr. Susan Hilliker (Lab) Voic ext shilliker@lifewest.edu OFFICE HOURS: Tuesday and Thursday 11:30-12:30pm or by Appointment 1

2 REQUIRED TEXT: Casey: Gonstead A & B Course Notes RECOMMENDED TEXTS: Herbst: Gonstead Chiropractic Science and Art Plaugher: Textbook of Clinical Chiropractic: A Specific Biomechanical Approach MATERIALS: X-ray marking pencil, radiographic parallel ruler and a skin marking pencil are required for lab. Students are required to wear attire that allows their backs to be exposed during labs. A plastic spine with pelvis and Nervoscope (or GO scope or other heat reading instrument) are recommended for lab. Students are required to have a copy of their spinal x-rays for exam correlation in all labs. METHOD OF INSTRUCTION: Lecture presentations, handouts, clinical radiographic presentations, adjusting "set-ups" and supervised adjusting. METHOD OF GRADING: Lecture is valued at 2 units and lab at 1.5 units for a total of 3.5 units. The course will be weighted in points for a total of 350 points. 200 points will be derived from lecture and 150 points from lab Total 350 points 50 points Midterm Practical Lecture: 80 points Midterm Written 100 points Final Practical (Comprehensive) Lecture: 120 points Final Written (Comprehensive) Note: All students are required to participate in lab during set-ups and during examinations as both an adjuster and a mock patient. Exceptions will only be allowed with specific documentation. Open Lab requirement: For a final grade for this course, each student must show evidence of having completed five (5) pelvic, lumbar, thoracic and/or cervical examinations and the appropriate corrective adjustment(s) using Gonstead protocol. They must be signed off in OPEN LAB by a supervising doctor during the quarter. This is a requirement that must be completed to pass the course. The requirement must be completed on at least four (4) different people. Two (2) should be completed by the date of the student s practical midterm. The required five (5) must be completed by end of week 10. They may be given to either the lab instructors or Dr. Casey. In accordance with technique department regulations BOTH the lecture and lab portions of this class must be passed with at least 75%. (The lecture and lab grades are combined for a final, single grade.) Technique Department Grade Scale: % pts A % pts B % pts C Below 75% the student must repeat the course. In order to maintain satisfactory Academic Progress, a student must maintain a 2.0 or better in each and every course. Any grade less than a C must be remedied by repeating the class. REMAKE EXAMS: Remake exams are given at the discretion of the instructor, and are allowed under special circumstances only. Arrangements must be made with the instructor and the Dean s office for time and place. 2

3 SPECIAL TESTING: It is the student s responsibility to notify the instructor one-week in advance if special testing is required. All paperwork with appropriate signatures must be completed and turned in one week prior to the exam. Once arrangements have been made they may not be changed without the instructor s approval. OVERLAP CLASSES AND MID-TERM EXAMS: College policy applies INCOMPLETES: ATTENDANCE: College policy applies College policy applies CONDUCT AND RESPONSIBILITIES: College policy applies PRIMARY COURSE OBJECTIVES: 1. Demonstrate an understanding of the science, methodology, and basic proficiency in the practical application of Gonstead concepts, analysis and correctional adjustments to the pelvic structure and the lumbar, thoracic and cervical spine using the Pelvic Bench, Knee Chest Table and Cervical Chair. 2. Achieve student comfort and proficiency with the Gonstead method such that it becomes a motivating factor for the student Intern to utilize the technique in providing chiropractic care to patients of the Health Center. SPECIFIC COURSE OBJECTIVES: WEEK 1 Lecture: Introduction to the course, review syllabus, etc. Introduction to the Gonstead Technique; its science and application. Begin Coccyx, Sacrum and Ilium subluxation analysis (Patient presentation, visualization, instrumentation, static and motion palpation, and x- ray) and adjusting protocols with case management examples. and x-ray) and adjusting for Coccyx, Sacrum and Ilium subluxations using the Pelvic Bench and Knee-Chest Table. WEEK 2 Lecture: Continue as needed with Coccyx, Sacrum and Ilium. Introduce Measured Deficiency (MD) vs Actual Deficiency (AD) and when to adjust the Ilium vs Sacrum. Continue as needed with Coccyx, Sacrum and Ilium. WEEK 3 Lecture: Week 1-2 Review as needed. Begin Lumbar subluxation analysis (Patient presentation, visualization, instrumentation, static and motion palpation, and x-ray) and adjusting protocols with case management examples. and x-ray) and adjusting for Lumbar subluxations using the Pelvic Bench and Knee- Chest Table. WEEK 4 Lecture: Continue as needed with Lumbar. Introduce 5 th lumbar special listings. Review for Mid-Term Examination: Coccyx, Sacrum, Ilium and Lumbar. 3

4 WEEK 5 Lecture: Review for Lecture and Laboratory Mid-Term Examinations. View Gonstead videos for Sacrum, Ilium and Lumbar spine concepts, management and corrections. Mid-Term Examination: Mock subluxation-listing analysis and adjusting protocols for Coccyx, Sacrum, Ilium and Lumbar spine. WEEK 6 Lecture Mid-term Examination. (Weeks 1-5) Review Coccyx, Sacrum, Ilium, Lumbar analysis and adjusting. Discuss patient case Management for Coccyx, Sacrum, Ilium and Lumbar subluxation correction. WEEK 7 Lecture: Begin Thoracic (T12-T1 and Cervical (C7-C2) subluxation analysis (Patient presentation, visualization, instrumentation, static and motion palpation, and x-ray) and adjusting protocols with case management examples. and x-ray) and adjusting for Thoracic (T12-T1) and Cervical (C7-C2) subluxations using the Pelvic Bench, Knee-Chest Table and Cervical Chair. WEEK 8 Lecture: Continue Thoracic (T12-T1) and Cervical (C7-C2) subluxation analysis (Patient presentation, visualization, instrumentation, static and motion palpation, and x-ray) and adjusting protocols with case management examples. Introduce C1 (Atlas) and Occiput subluxation analysis (Patient presentation, visualization, instrumentation, static and motion palpation, and x-ray) and adjusting protocols with case management examples. Continue patient analysis (Presentation, visualization, instrumentation, static and motion palpation, and x-ray) and adjusting for Thoracic and Cervical (C7-C2) subluxations using the Pelvic Bench, Knee-Chest Table and Cervical Chair. Introduce C1 (Atlas) and Occiput subluxation analysis (Patient presentation, visualization, instrumentation, static and motion palpation, and x-ray) and adjusting protocols with case management examples. WEEK 9 Lecture: Review full spine subluxation analysis and correction Coccyx, Sacrum, Ilium, Lumbar, Thoracic and Cervical. Discuss full spine patient management. Review for final examination: Coccyx, Sacrum, Ilium and Lumbar, Thoracic and Cervical. WEEK 10 Lecture: Review for Lecture and Laboratory Mid-Term Examination. View Gonstead videos for Lumbar, Thoracic and Cervical spine concepts, management and corrections. Final Examination: Mock subluxation-listing analysis and adjusting protocols for Coccyx, Sacrum, Ilium, Lumbar, Thoracic and Cervical spine. WEEK 11 Lecture: Comprehensive Final Examination (Weeks 1 10) Note: The required five (5) Open Lab Examinations-Adjustments must be completed by end of week 10. 4

5 STUDENT LEARNING OUTCOMES: Instruction, Tests/Examination and Laboratory experiences will be highlighted by specific CAPSTONE concepts. These will be considered the most important components in understanding and applying Gonstead procedures for patient care. When being tested through lecture or laboratory examination, CAPSTONE concepts may be given greater credit. Upon completion of this course, the student will be able to: Explain the concepts and/or differences between Subluxation and Compensation. Explain the concepts and/or differences between Spinal or Joint Adjustment and Spinal or Joint Mobilization. Explain the Anatomical justification of the Gonstead method. Explain the concept of spinal Subluxation as it relates to the Vertebral Disc and other paraspinal Joint Articulations. Explain and demonstrate on an x-ray, the mechanism of spinal Misalignment as it relates to directional movement of the Spinal Vertebrae, Pelvic Structure and Skull/Occiput as compared with adjacent structures. Properly mark X-rays according to the position of each Vertebra relative to its own Disc and Vertebra below, the Pelvic Structure relative to the Sacrum and both Femurs, and the Skull/Occiput relative to the Atlas. Explain and demonstrate the history and examination procedures that indicate the need for a Gonstead protocol Adjustment. Demonstrate an accurate, mock set-up for a Gonstead protocol adjustment intended to correct: Subluxations of the Coccyx and Sacro-Iliac Joint (Ilium- Sacrum) Subluxations of all Lumbar, Thoracic and Cervical Vertebrae including Atlas Subluxations of the Occiput 5