David Gibson, DC DAAPM, DAAMLP

The effects of trauma on spinal vertebral segments and the short and long term sequella to morphology. Identifying and diagnosing bone edema, spurring, types of degeneration in assessing biomechanical stability in conjunction with Modic and Pfeiffer changes

Central neural pathways of pain and higher cortical responses to pain and the effect of high amplitude-low velocity forces on mechanoreceptors and proprioceptors. The effects of neuropeptides on the hypothalamus, pituitary and adrenal axis when treating patients.

Epidemiology and predisposing factors, chemical vs. mechanical pain, pain and connective tissue properties, anatomical considerations related to mechanical diagnosis and therapy, and diagnosis through repetitive movements. Examination and treatment: postural, dysfunction and derangement syndromes. Anatomy and biomechanics: the intervertebral disc, prophylaxis and contraindications. Patient models, analysis and discussion

Examination of ethical principles and a comparative analysis of morals and ethics. Examination of professional boundaries and professional boundary crossings and violations. Transference and countertransference in the doctor-patient relationship. NCBCE rules and regulations, coding systems, chiropractic documentation, writing subjective complaints, objective findings, assessment and plan

Delta V issues correlated to injury and mortality, side impact crashes and severity of injuries, event data recorder reports correlated to injury, frontal impact kinematics, crash injury metrics with many variables and inquiries related to head restraints

The mathematical calculations necessary utilizing time, distance, speed, coefficients of friction and acceleration in reconstructing an accident. The application of the critical documentation acquired from an accident site

Factors that cause negative acceleration to zero and the subsequent forces created for the vehicle that get translated to the occupant. Understanding critical documentation of hospitals, ambulance reports, doctors and the legal profession in reconstructing an accident

The forces in physics that prevail in accidents to cause bodily injury. Quantifying the force coefficients of vehicle mass and force vectors that can be translated to the occupant and subsequently cause serious injury

Brain and head physiology, brain mapping and pathology as a sequella to trauma. Traumatic brain injury, mild traumatic brain injury, axonal shearing, diffuse axonal injury and concussion are detailed in etiology and clinically. Clinical presentation, advanced diagnostic imaging and electrodiagnostic are detailed in analysis to create a differential diagnosis. Balance disorders that are often as a result of trauma are also explored from clinical presentation to advanced imaging and differential diagnosis

An in-depth understanding of the protocols in triaging and reporting the clinical findings of the trauma patient. Maintaining ethical relationships with the medical-legal community

An extensive understanding of the injured with clinically coordinating the history, physical findings and when to integrate neurodiagnostics. An understanding on how to utilize emergency room records in creating an accurate diagnosis and the significance of “risk factors” in spinal injury

An extensive understanding of the physics involved in the transference of energy from the bullet car to the target car. This includes G's of force, Newton’s Law, gravity, energy, skid marks, crumple zones, spring factors, event data recorder and the graphing of the movement of the vehicle before, during and after the crash. Determining the clinical correlation of forces and bodily injury

MRI interpretation, physiology, history and clinical indications, Bone Scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient

Electromyography (EMG,) Nerve Conduction Velocity (NCV,) Somato Sensory Evoked Potential (SSEP,) Visual Evoked Potential (VEP,) Brain Stem Auditory Evoked Potential (BAER) and Visual-Electronystagmosgraphy (V-ENG) interpretation, protcols and clinical indications for the trauma patient

Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-9 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare

Understanding the necessity for accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiopathology, myopathology, neuropathology, pathophysiology in both functional and structural paradigms

Magnetic fields, T1 and T2 relaxations, nuclear spins, phase encoding, spin echo, T1 and T2 contrast, magnetic properties of metals and the historical perspective of the creation of NMR and MRI

Normal anatomy of axial and sagittal views utilizing T1, T2, 3D gradient and STIR sequences of imaging. Standardized and desired protocols in views and sequencing of MRI examination to create an accurate diagnosis in MRI

MRI interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies in etiology and neurological sequelae in relationship to the spinal cord and spinal nerve roots

MRI interpretation of bone, intradural, extradural, cord and neural sleeve lesions. Tuberculosis, drop lesions, metastasis, ependymoma, schwanoma and numerous other spinal related tumors and lesions

MRI interpretation sequencing of the cervical, thoracic and lumbar spine inclusive of T1, T2, STIR and 3D gradient studies to ensure the accurate diagnosis of the region visualized

The clinical application of the results of space occupying lesions. Disc and tumor pathologies and the clinical indications of manual and adjustive therapies in the patient with spinal nerve root and spinal cord insult as sequelae

Fundamentals of isometric and isotonic strength training, endurance training, flexibility training including passive-passive, assist-passive, resist-active, and assist-active resist. Post-isometric relaxation including reciprocal inhibition and soft tissue procedures

Motor vehicle accident statistics, cervical whiplash mechanism and dynamics, vehicle crash testing, cervical spine anatomy and physiology, head trauma and grading, three stages of healing: inflammatory, repair, and remodeling, conservative rehabilitation procedures, orthopedic and neurological evaluation of the head, spine, and extremities, and advanced diagnostic testing: CT, MRI, bone scan, and EMG

Understanding McKenzie, posture, dysfunction, derangement, and end-range loading. Stabilization exercise, isometric co-contraction, co-contraction combined with arm/leg movements, and rocker board/swiss balls. PNF, hold-relax/contract-relax/contract-relax agonist contract. Proprioceptive training, small foot, balance board/balance shoes/balls, styrofoam rolls, and perturbations. Stretching, hypertonic muscles and facilitation techniques

Muscular strength evaluations, manual muscle tests, multiple angle isometric, dynamic. Muscular endurance evaluation. Flexibility evaluation, inclinometric (passive and active). Aerobic fitness, heart rate and PAR-Q. ADL demonstration/advice, posture, sit (chairs/ergonomic ), stand, sleep, pillows, mattress, lifting, carrying, push, and pull

Assessment protocols integrating muscle/joint dysfunction/motor control, deep neck flexor, forward head, scapulo-humeral rhythm, arm elevation, hip extension/abduction, squat, balance, and sway. Human locomotions, gait analysis. Functional testing of isolated muscles/joints, alaranta trunk flexion/extension patterns, squatting,and spinal RON measurements. Evaluation of muscle imbalance, tight vs. weak and agonist vs. antagonist

Fundamentals of the peer review process. Peer review report writing format and skill development. State/regional/national, chiropractic, and cross discipline treatment guidelines. Deposition and court room testimony skill development. Insurance industry red flags

Comprehensive analysis of physical therapy modalities. Physiological effects, indications, contraindications and proper dosage of physical therapy modalities. Spinal decompression protocols and guidelines

Plain film radiographs, MRI, CT scan, bone scan, myelography and electrodiagnostic testing: EMG, NCV, SSEP

Muscle anatomy and physiology. Understanding of exercise energy systems, progressive resistance exercise methodologies, aerobic/anaerobic exercise training concepts, and rehabilitative exercise treatment protocols

Understanding of the independent chiropractic examination process. Establishing the diagnostic impression. Overview of the causal relation, apportionment, and permanent impairment. Independent chiropractic examination report writing and case presentation

Physical examination techniques and findings. Utilization of appropriate physical/orthopedic/neurologic/chiropractic examination testing procedures. Independent chiropractic examination case presentation analysis

Documentation methodologies to enhance third party reimbursement. Medicare/C.P.T. billing code analysis. Risk management strategies to prevent malpractice claims

Understanding anatomy and physiology. Overview of exercise energy systems. Progressive resistance exercise methodologies. Aerobic/anerobic exercise training concepts. Rehabilitation exercise treatment protocols. Sport specific exercise strength training methods patient exercise program designs

Understanding dynamics of accidents, elasticity of soft tissue, three phases of healing, scar tissue formation, altered joint function, and long term effects of soft tissue injury