David A. Satterwhite, DC DAAMLP FIACA FASA

Digitalizing and analyzing the full spine images to diagnose pathobiomechanics as sequellae to trauma in relation to ligamentous failure and disc and vertebral pathology as sequellae. This includes anterior and posterior vertebral body elements in rotatioal analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models. Review of case studies for analysis of pathobiomechanics using a computerized/numerical algorithm along with corrective guidelines. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY,

Digitalizing and analyzing the lumbar spine images to diagnose pathobiomechanics. This includes anterior and posterior vertebral body elements in rotatioal analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models. Review of case studies for analysis of pathobiomechanics using a computerized/numerical algorithm along with corrective guidelines. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY,

Digitizing and analyzing the cervical spine in neutral, flexion and extension views to diagnose pathobiomechanics. This includes alteration of motion segment integrity (AMOSI) in both angular and translational movement. Ligament instability/failure/pathology are identified all using numerical values and models. Review of case studies to analyze pathobiomechanics using a computerized/numerical algorithm. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY,

Integrating spinal biomechanics and pathobiomechanics through digitized analysis.The comparison of organized versus disorganized compensation with regional and global compensation. Correlation of the vestibular, occular and proprioceptive neurological integration in the righting reflex as evidenced in imaging. Digital and numerical algorithm in analyzing a spine. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY,

To utilize whiplash associated disorders in various vectors of impact and whiplash mechanisms in determining pathobiomechanics. To clinically correlate annular tears, disc herniations, fractures, ligament pathology and spinal segmental instability as sequellae to pathobiomechanics from trauma. The utilization of digital motion x-ray in diagnoising normal versus abnormal facet motion along with case studies to understand the clinical application. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY,

Spinal biomechanical engineering of the lumbar spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY,

Spinal biomechanical engineering of the cervical and upper thoracic spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY,

The Cartesian Coordinate System from the history to the application in the human body. Explanation of the x, y and z axes in both translation and rotations (thetas) and how they are applicable to human biomechanics.Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY,

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. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY,

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. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY,

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. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY,

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. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY,

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. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY,

Spine Impairment Rating, Upper Extremities Impairment Rating, Lower Extremities Impairment Rating, Beyond Musculoskeletal Systems, Impairment Rating of the Nervous System, Impairment Rating for Pain.

Spine Impairment Rating, Upper Extremities Impairment Rating, Lower Extremities Impairment Rating, Beyond Musculoskeletal Systems, Impairment Rating of the Nervous System, Impairment Rating for Pain.

The nature of the driving task, Factors affecting driving performance, such as age, alcohol/drug use, fatigue, divided attention, driver distraction, and many others, Human vision/perception and reaction and how to assign times, Day vs. night, Computerized perception-reaction time estimate, Driver looking behavior, The value and reliability of eyewitness evidence, Eyewitness evidence versus physical evidence, Important vehicle and roadway factors that should be considered.

Standards, measurements and dimensional analysis, Understanding and using conversion factors, Vectors, Damage momentum and crush analysis, Crush measuring protocol; and measuring techniques, Outdoor project – interpreting damage and measuring crush, Energy concepts and analysis, Determining appropriate post-impact drag factors, Understanding EBS and delta-V, Conservations of linear momentum and delta-V vectors, Introduction to crush and Hooke’s Law, Collision analysis using damage momentum, Understanding and determining stiffness coefficients, Damage (crush) analysis, Pole impacts and fracture energy, Using simultaneous equations to solve in-line collisions

MRI interpretation of bone, intradural, extradural, cord, and neural sleeve lesions. Tuberculosis, drop lesions, metastasis, epedymoma, schwannoma, and numerous other spinal related tumors and lesions.CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Robert Peyster MD, Neuroradiologist, State University of New York at Stony Brook, Long Island, New York Long Island, New York

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 CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Robert Peyster MD, Neuroradiologist, State University of New York at Stony Brook, Long Island, New York, Long Island, New York

An in-depth understanding o f 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 physics involved in the transference of energy from the bullet car to the target car. This includes G’s of force, Newton’s, 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, protocols, and clinical indications for the trauma patient

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

Understanding the necessity for accurate documentation and diagnosis 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 kinesiolpathology, myopathology, neuropathology, pathophysiology in both a functional and structural paradigm

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

Comprehensive training program in whiplash and brain injury traumatology, emphasizing the biomechanics, injury mechanisms, and occupant kinematics

Comprehensive auto crash reconstruction and advanced diagnostics and case management of whiplash and related disorders

Narrative report writing, independent medical examination and application of AMA guidelines in personal injury and forensic practice

Medical-legal issues, arbitration, deposition, and testifying in court

Vehicular crash test program and research project observation, utilizing human volunteers. State-of-the-art reconstruction of low speed rear impact collisions (LOSRIC), covering principles of mathematics, physics, biomechanics, and occupant kinematics. Included assistance with crash data collection in 2004

Use of functional testing in post-offers, fit for duty exams, physical capacity evaluations, functional capacity evaluations, work hardening and/or work conditioning programs, and any other types of objective functional evaluations

Functional capacity testing tools and procedures learned include subjective and algometry pain, manual and computerized strength testing, static lifting, pushing and pulling, work activities and work postures, essential functions and critical demands, dexterity, cardiovascular testing, and heart rate capture

Management Principles: Diagnostics, Forensic Documentation, & Auto Crash Reconstruction (ACR)

Principles of Impairment; Writing & Expert Documentation

Medicolegal Fundamentals for Practitioners and Experts

Biomechanics, Injury Mechanisms, Epidemiology

Management Principles: In-depth training on all aspects of management of trauma, from beginning to end; a comprehensive primer on crash reconstruction.

Principles of Impairment, Writing, and Expert Documentation

Medicolegal Fundamentals for Practitioners and Experts

The Advanced Recertification Program

Physical evidence from the roadway. Physical evidence from the vehicle. The human element and occupant kinematics. Mathematical principles and equations. Skid marks and vehicle speeds. Measuring and scale diagramming. Information analysis and case preparation

-Speed estimates from kinetic energy, skidmarks, scuffmarks and airborne situations -Vehicle dynamics and motion -Time, distance, and motion equations -Conservation of momentum equations -Center of mass calculation -Vehicle lamp examination -Tire damage evaluation -Vector sum analysis

Derivation and origin of the commonly used speed formulas -Speed of vehicles at impact using conservation of linear momentum -Behavior of vehicles in a collision using Newton's three laws of motion -Discussions of commercial vehicle and motorcycle dynamics in collisions -The determination of direction of travel, initial contact and position of vehicles on the road

Guides to the Evaluation of Permanent Impairment, 6th Edition. Pain related impairment, specific disorders of the spine, upper and lower extremity impairments, coding for impairment ratings, evidence-based documentation, establishing medical necessity, courtroom preparation & legal issues.

Intervertebral disc herniation induced stenosis, research project findings, non-discogenic causes of low back pain, full spine examination of the back pain patient,- establishing diagnosis & treatment prognosis, healing time, low back wellness school and rehabilitation procedures, spinal nutrition, stabilization and prevention recurrence, cervical spine: biomechanics, diagnosis, treatment with Cox Protocol

ICD-9 and CPT requirements in coding for the traumatically injured including integrating electronic health records including informed consent, evaluation and management, testing orders. The utilization of research in medical reports for both the trauma and non-trauma patients. Clinical coordination of care and reporting to healthcare and legal providers

Review of current research published in peer reviewed medically indexed journals focusing on traumatic injuries and how current literature affects the diagnostic conclusion and how to formulate treatment plans

Spinal MRI findings related to degenerative changes vs. traumatic changes of the intervertebral disc by using definitions provided by the American Society of Neuroradiology. Anatomy of the intervertebral disc, spinal cord, nerve roots and spinal ligaments correlated to T1, T2, STIR sagittal, stacking and axial images. Anatomical MRI differentiation of normal, degenerative and traumatic changes

Somato-sensory evoked potentials, brain stem auditory evoked potential and visual evoked potential utilization, physiology and interpretation, electrodiagnostic testing as a clinical component in part of the neurological work-up of the traumatically injured patient in both the peripheral and central nervous system. Inductions and contraindications to electrodiagnostic procedures . The utilization of electrodiagnostics in concluding radiculopathy, myelopathy and plexopathy and determining recent trauma or chronic pathology

Whiplash associated disorders and the biomechanics of side impact vs. rear impact with emphasis on traumatic forces and body position, the mechanism of whiplash injury phases with their relationships to physiologic tolerance to trauma, specific diagnosis of disc pathology and annular tear, disc herniation, fracture, ligamentous injury and instability. Details of spinal nerve root stretching injury and dimensions of the spinal canal during whiplash was outlined particular to significant spinal injury resulting from low level accelerations including pediatric spinal trauma and physiological normals. Spinal surgical intervention techniques including ordering diagnostic studies using MRI, CT and digital motion x-ray

Documentation requirements of the courts in a medical-legal case including causality, bodily injury and persistent functional losses, ethically reporting of functional loss as it pertains to the integrity of the joint and activities of daily living and implications of chronicity, reporting of normal findings, maximum medical improvement and the release of the patient in the medical-legal arena

Calculation of Principal Direction of Force - Occupant movement - Types of injury: contact and non-contact - Injury forces - Vehicle interior examination - Injury terminology - Occupant protection systems - Reading medical and autopsy records - Calculation of delta V

• Select the proper imaging method based upon the situation• Analyze any set of EDR data you encounter, regardless of manufacturer• Recognize the six vehicle operational conditions where EDR speed data has been improperly used• Determine the effect that equipment modifications have on EDR speed data• Use precrash data to identify when a vehicle lost control in order to select the peak speed before the vehicle lost control• Calculate the appropriate ranges for speed at impact for different EDR’s• Use accelerator pedal release and brake application timing as the first reaction to an impending crash• Use time-distance analysis to estimate the point of first perception• Utilize EDR data to gain previously unavailable insight into driver behavior and approach speed rather than impact speed• Use EDR analysis methods that will work for any manufacturer’s data, even those not yet released to publicly available imaging tools• Use OEM specific Excel© templates to analyze EDR data• Understand the new National Highway Traffic Safety Administration Part 563 rule (effective September 2012) that will standardize EDR data and make more data available in more severe crashes

Math overview, work-energy relationships and applications, conservation of linear momentum/impulse (with vector sum analysis using mathematical and graphical methods), uniform projectile,otion/airborne equations, uniform circular motion/critical speed, tire forces and tire mark evidence, time-distance relationships, energy loss in collisions/CRUSH, ratinal mechanics/rotation after collision and pitch down in take off, low speed collision considerations including coefficient of restitution.

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

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

Clinically coordinating spinal pathology with neurological and functional sequelae including station & gait, migraines, sexual dysfunction, sleep & arousal disorders, paroxysmal disorders, radiculopathic disorders and central nervous system disorders