Applying Cutting-edge Research to Everyday Practice:
Chiropractic and Exercise

Course Outline



1. Introduction to current models of joint dysfunction, disturbed sensorineuromotor control and the natural history of back and neck pain:
  1. Understand joint neurology, pain changed motor programs, and the loss and restoration of passive and dynamic stability.
  2. Understand the current concepts of disturb brain sensory processing and motor control, aberrant afferent and motor patterns, kinesthetic perception, and full kinetic chain dynamic stability.
2. The latest research on exercise, neuromotor control, core trunk stabilization, local and global stability:
  1. Understand the current research on spinal instability, protective ligamentomuscular reflexes and the use of co-contraction of trunk muscles to protect and stabilize the neutral spine in order to prevent injury or recurrence.
  2. Understand how to use specific exercises to enhance dynamic spinal stability and eliminate long-term musculoskeletal pain.
  3. Learn how to improve patients’ sense of self-efficacy, motivation, satisfaction and control so patients become active partners in restoring and maintaining their health and function.
3. The latest scientific evidence on chiropractic effectiveness, restoration of function, pain relief, and patient satisfaction:
  1. Understand the new paradigms in chiropractic on tissue injury, damaged collagen fibers, protective ligamentomuscular reflexes, adjustments effect on pain relief and stabilizing motor programs.
  2. Be able to explain the current goals of chiropractic care, restoration of function and general health and the evidence that strongly supports the chiropractic wellness model.
4. Learn how to use patient self-reports and objective physical performance tests to evaluate and improve long–term patient outcomes, function and satisfaction:
  1. Understand the use of valid, reliable and responsive outcome measures to document appropriateness and efficacy of chiropractic care.
  2. Understand, document and quantify physical impairment, disability, pain intensity, and health related quality of life.
  3. Improve record keeping and documentation of patient responsiveness in order to eliminate disputes about necessity, effectiveness and reimbursability of care.
5. Chiropractic, Exercise and the Brain: Review of functional neuroanatomy of the primary somatosensory and motor cortex, their interactive roles in normal and disturb sensorimotor function, motor control, kinematics, and load distribution:
  1. Review the influence of back pain, inflammation, and tissue damage on neural degeneration, cognitive function, memory and the hippocampus
  2. Explain the latest research on somatosensory processing and sensorimotor Integration.
  3. Understand the positive changes that result from adjustments and exercise on the sensory and motor cortices and the cerebellum
6. An update of the newest clinical trials on the effectiveness of spinal adjustments on neck pain, low back pain, and disability, as well as, the latest comparative trials of spinal manipulation versus nonsteroidal anti-inflammatory drugs, standard medical care, mobilization, microdiscectomy, image guided nerve root injections and much, much more.
7. Educating patients, attorneys, judges, jurors, medical doctors:
  1. Understand and explain acute and chronic conditions and the benefits and goals of chiropractic care to patients, medical doctors, insurance companies.
  2. Educate medical doctors and learn how to markedly increase patient referrals from them.
  3. Increase patient compliance, referrals and improve outcomes.