Sangwoo Mah, DC DAAMLP

Utilizing the scientific data to support a diagnosis, prognosis and treatment plan while meeting the admissibility standards based upon a professional’s credentials

Disc bulge, herniation, protrusion and extrusion classifications based upon contemporary literature and how to age-date disc pathology

Cardiac etiologies and clinical features as precursor to stroke with associated paradoxical emboli and thrombotic etiologies. Historical and co-morbidities that have etiology instroke inclusive of diabetes, coagulopathy, acquired and hereditary deficiencies.

The goals of treatment with the physiology of the infarct and penumbra zones and the role of immediate triage in the primary care setting. Detailing the complications of stroke and future care in the chiropractic, primary care or manual medicine clinical setting.

The neurological history and examination for identifying stroke risks with a focus on supra and infratentorial regions, upper and lower motor lesions, cranial nerve signs, spinal cord pathology, motor and sensory pathology and gait abnormalities. Examining genetic and family histories along with dissection risk factors. Stroke orthopedic testing and clinical guidelines pertaining to triage for the primary care provider.

an advanced examination and proficiency for spinal ligament injury specialist certification and adherence to the best practices set forth for accurate and complete diagnosis of this condition.

Analyzing the integration of collision reconstruction and spinal biomechanics utilizing a mathematical model. Understanding the model and transference of energy from the bullet car to the target car to the occupant to aberrant spinal biomechanics,

Understanding the mathematical models required to analyze a collision and create coefficients of forces transferred in a collision that effect the automobile and the occupant,

Calculation worksheets in the mathematical models required to analyze a collision and create coefficients of forces transferred in a collision that effect the automobile and the occupant,

An analysis of vehicle parts and construction design that contribute to the energy translated to the human body and spine inclusive of seatbelts, airbags, bumpers, event data recorders, tires, axles and auto frames,

When correlating crash to injury, inspecting the vehicle for evidence of damage to verify causality and extent of malformation of the vehicle beyond that of the outer shell of the vehicle,

Newton's laws of inertia and the determinant calculations required based upon the action of the vehicle and how spinal biomechanics are affected. Analyzing the vehicle and accident site to reconstruct the actions of the car to create a model,

Reconstructing and calculating minimal speed and velocity as injury and damage factors based upon skid marks considering coefficients of friction based upon various road surfaces,

Reconstructing and calculating speed and velocity as injury and damage factors based upon yaw marks considering coefficients of friction based upon various road surfaces,

Coefficients of momentum and calculating plastic vs. elastic deformation. Direction of forces as mathematical determinants of collision and resultant bodily injury forces,

Coefficients of acceleration, negative acceleration and G-forces in collisions that contribute to vehicular and bodily injuries. Analyzing time, speed and weight of bullet and target automobiles to reconstruct the energy of a collision and injury potential,

The osseous and ligamentous structures that are subject to pathology in bodily injury. The pathological reaction of connective tissue when it exceeds its paraphysiological limits and the bio-neuro-mechanical changes the connective tissue undergoes as sequella to trauma,

Energy and momentum coefficients and data utilized as determinants and error ranges in calculations. Considering the stiffness of the vehicle, air bag function and formulation of timing in its release point and injury potential to facial and spinal structures,

Mathematical worksheet reviewing kinetic and work energy, momentum, acceleration and G-forces in numerically quantifying a collision, the energy created to deform an automobile and the transference of forces creating connective tissue pathology and altered spinal biomechanics,

Analyzing sample accidents utilizing all the vehicle, road surface combining standardized calculation variables in reconstructing an accident and the resultant energy considered for connective tissue pathology and resultant aberrant spinal biomechanics,

A detailed analysis of the blood supply to the brain and the physiology of ischemia.

How to Maintain Compliance with Legal Issues Confronting Chiropractors.

Trauma and chronic pain care effecting mechanoreceptors, nociceptors and proprioceptors through adjustive therapy based upon evidence based care and current literature verification

Triage of patients based upon MRI findings of disc herniation, disc bulge, protrusion, extrusion or sequestrations and spinal cord or nerve root negative sequella, clinical findings of neuro-compressive pathologies and neurodiagnostic findings of EMG-NCV, SSEP, VEP, BAER, VEP and V-ENG findings

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.

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.

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.

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.

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.

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.

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.

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.

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.

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 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.

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 understanding and utilization of the protocols and parameters of the AMA Guide to the Evaluation of Permanent Impairment 6th Edition. Spine, neurological sequelae, migraine, sexual dysfunction, sleep and arousal disorders, station and gait disorders and consciousness are detailed for impairment rating. Herniated discs, radiculopathy, fracture, dislocationa and functional loss are also detailed in relation to impairment ratings.

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 electrodiagnostics are detailed in analysis to create a differential diagnosis. Balance disorders that often occur as a result of trauma are also explored from clinical presentation to advanced imaging and differential diagnosis.

Accurate and compliant documentation of history and clinical findings inclusive of functional losses, loss of activities of daily living, duties under duress and permanent loss of enjoyment of life. Prognosing static vs. stable care, gaps in care both in the onset and in the middle of passive care with a focus on detailed diagnosing. The integration of chiropractic academia, the court system and the insurance reimburser’s requirements for complete documentation.

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

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.

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.

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.

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, newtons, 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.

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.

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, and pathophysiology in both a functional and structural paradigm.

Comprehensive movement assessment protocol certification seminar. Main goal is to categorize improper movement patterns of the spine and the extremities to direct manual therapy and therapeutic exercise choices.

Non-surgical spinal decompression certification seminar for disc herniation, spinal stenosis, radiculopathy, and other common cervical and lumbar spine disorders.

Seminar on manual treatment of disc herniation with emphasis on McKenzie Technique.

Seminar on manual manipulation technique of extremity joint dysfunction.

Certification seminar on basis, procedure, and practice of manipulation under anesthesia.

Seminar on advanced instrument adjusting and rehabilitation protocols

Seminar on background, theory, and use of therapeutic low level laser for physical injuries

Seminar on rehabilitation of the cervical spine and the upper extremity.

Seminar on drop table adjusting technique using the Thompson chiropractic analysis and treatment protocols.

Seminar on accident reconstruction, advanced diagnostics and treatment of low speed, rear-impact collision of motor vehicle accident injuries.

Seminar on precision manual adjusting techniques.

Seminar on spinal rehabilitation and postural corrections using patient specific exercise sequences.

Seminar on the Activator Chiropractic Technique analysis and treatment protocol for spinal conditions.

Seminar on diagnosis and treatment of soft tissue injuries of the upper extremity using advanced and specific manual soft tissue technique.