Paola Porrone, DC Lac

Normal spinal form and function Neural control of posture The Pettibon Spinal ModelTM and its key principles Abnormal spinal form and function Posture patterns Soft tissue physiology Initiating Event Spinal Displacement Complex Soft tissue physiology Overview of Pettibon System X-ray Procedures Purpose of rehabilitation The Pettibon Weighting System Diagnostics & testing Overview of the three phases of care Upon its completion, Fundamentals will enable participants to identify: The Pettibon Spinal Model and its key principles. The causes and consequences of abnormal spinal form and function. Soft tissues’ physiological properties and functions. The reasons why conventional chiropractic adjustments cannot force the spine into alignment. The difference between conventional chiropractic adjustments and mobilizations. The key components of The Pettibon System X-ray Procedures. The Pettibon Weighting System and how it works. The protocol patients follow for routine clinic visits. The three examinations conducted at every clinic visit. The specific instruments and rehabilitation equipment that support the implementation of The Pettibon System in the clinic. What Home Care is and why it’s important. The three phases of care and their distinctions.

X-ray Procedures will enable participants to identify: Identify the equipment and film requirements, tube distances, and how patients are positioned for taking accurate x-rays. Determine forward head posture, skull-atlas relationship, disc height, cervical lordosis, percentage of loss of cervical lordosis (curve), and vertebral participation on Neutral Lateral Skull-Cervical x-rays. Determine skull flexion on atlas, vertebral translation, cervical flexion angle, and vertebral participation on Lateral Cervical Flexion x-rays. Determine skull extension on atlas, vertebral translation, cervical extension angle, and vertebral participation on Lateral Cervical Extension x-rays. Determine anterior-posterior translation. Determine the Upper Angle (UA), Lower Angle (LA), C2 rotation, Cervical Dorsal (CD) Angle, and Dorsal Upper Dorsal (DUD) Angle on A-P Skull-Cervical, Upper Thoracic x-rays. Determine atlas rotation on Base Posterior Cervical-Skull x-rays. Determine sacral base to L5 translation, lumbar lordosis, percentage of loss of lumbar lordosis (curve), weight bearing (GWL), disc height, and vertebral participation on Neutral Lateral Lumbo-Sacral, Lower Thoracic x-rays. Determine the Lumbo Sacral (LS) Angle, Lumbo Dorsal (LD) Angle, and Dorsal Lower Dorsal (DLD) Angle on A-P Lumbo-Sacral, Lower Thoracic x-rays. Identify how to determine loss of motion segment integrity for the lumbar, thoracic, and cervical spines.

Completion of the course will enable the participant to be proficient in the following areas: Integrated spinal disc rehabilitation Mobilization procedures Use of instruments and rehabilitation equipment.

Goals & content of PPE. Patient history & physical examination. Guidelines for student sports participation in Colorado. Legal precautions. Appropriate PPE forms

CLINICAL SCIENCES  Healing and Repair o Nerves & treatments used to facilitate healing and repair o Muscles & treatments used to facilitate healing and repair o Discs, Ligaments & treatments used to facilitate healing and repair o Structure & treatments used to facilitate healing and repair o Organs & treatments used to facilitate healing and repair EXAMINATION PROCEDURES / DIAGNOSIS  Importance of PRE/POST Measurements (on daily visits and re‐evaluations) & WHAT THEY ARE… o Neurological & Muscular Measurements to Determine:  Who would benefit from or need PRE/POST testing  What or which of your therapies, treatment and rehabilitation could be applied  When should you apply them  Where would you apply them  Why is the order of body healing so important for lasting results  How can we put this all together for our office tomorrow o Structural Measurements to Determine:  Who would benefit from or need PRE/POST testing  What or which of your therapies, treatment and rehabilitation could be applied  When should you apply them  Where would you apply them  Why is the order of body healing so important for lasting results