Scoliosis Systems FULL COLOR PRIMARY

CONTINUING EDUCATION

Introduction to Neuroskeletal Applications

Module 1- Scoliosis Deformity

Online Live Streaming- Thursday March 30th 9am-1pm

Click on Link to Register

COST- $395

Marc J. Lamantia B.S.,M.S., D.C. Diplomate of the ACNB 2006-2011

MS in Neuropsychology Rehabilitation 2006

(Contact New York Chiropractic College for availability of 4 ce credits)

 

 

Scoliosis Etiopathology and Evolutionary Genetics

Scoliosis is an entire entity phenomenon which goes far beyond the curvature of the spine. The scientific literature provides a breadth of knowledge regarding etiopathology that will provide a framework for our approach to non-surgical interventions.

Evolutionary Perspective on Scoliosis -1:15pm

Scoliosis is a uniquely human condition. The Science of evolutionary biology sheds light on how and why our bodies fail into disease states.  

The New Science of Neuroskeletal Biology (NSB)

The term neuroskeletal biology was coined in 2007. The Scientific evidence supports the concepts that bone is a target tissue of the nervous system, and that the autonomic N.S. is directly responsible for the deformity of bone associated with scoliosis.

Autonomic influence on Bone Asymmetry

Bone is a known target organ of the nervous system, but it has not been until recently that the mechanism by which the cns communicates with bone has been identified. Via sympathetic pathways, neuropeptides are responsible for bone asymmetry.

NSB-Scoliosis as a Whole Organism Phenomenon

Scoliosis in not only a curvature of the spine, it involves the connective tissues and is now considered an entire organism Phenomena. CNS imbalances commonly seen in Scoliosis.

Evolutionary Liabilities of the Spine

Evolutionary medicine provides a framework by which skeletal liabilities can be identified and targeted for treatment.

Break
  • Evolutionary Liabilities of the Pelvis and Foot
  • The foot evolved from a laterally deviated big toe to  the plank like foot. We explore patterns of gait and interventions.
  • Evolutionary Liabilities of Nervous System
  • With upright posture and bigger brains our nervous systems evolved to best support the changes influence by a nomadic lifestyle. Today’s industrialized artificial environments expose weaknesses in our evolutionary path.
Introducing Neuroskeletal Scoliosis Phenotypes

Scoliosis is not all the same. Some patients are hyperflexible due to ligamentous laxity, while others have low muscle tone. Treatment interventions are based on these difference. These categories are subtypes of Idiopathic Scoliosis. Primary muscle disease, neurogenic scoliosis of known origin, trauma, or secondary scoliosis are not considered here.

Movement Disturbances Contributing to Scoliosis Progression Movement disturbances contributing to Scoliosis progression. Assess Active ROM Passive ROM, Resisted ROM, Coupled motions of the spine. Pelvic Stability, Upper Cervical Assessment.
Autonomic Dysfunction Sympathetic escape vs. Parasympathetic activity. Neuroskeletal biology confirms sympathetic connections responsible for bone deformity in scoliotic curvatures.
CNS dysfunction (Cortical)

The brain,  has been shown to be involved in Scoliosis. Identifying Sensory Disturbances, Vestibular Perceptual changes, Cortical hub changes can help direct more appropriate neuroskeletal interventions. The Insular Cortex revealed.

CNS dysfunction (Cerebello-vestibular)

The vestibulocerebellar system is implicated as a factor which is present even before the spinal deformity emerges. Cerebellar deficits may respond to specific rehabilitation methods and can improve postural integrity in an otherwise unstable spinal column.  Vestibulospinal and vestibulocular reflexes are explored.

Metabolic Dysfunction

Scoliosis is a problem with bone, ligament, platelets, and nervous and muscular. Scoliosis patients have been shown to have early onset, Osteopenia, low BMI and anorexia, vitamin and mineral deficiencies and other conditions related to metabolic health.

Diagnostic and Treatment Algorithm

Non-surgical management of scoliosis is specific to the patient’s needs, individual clinical findings and the desired clinical goals of both the patient and the clinician. Scoliosis typing is an important concept for clinicians to understand in order to better tailor clinical interventions to the individual.

Adult Scoliosis- Mechanisms of pain

Sympathetically maintained pain vs. Chronic Micro-trauma Pain is approached as a cortical event that may or may not involve end organ pathology. Assessment of brain based mechanisms of pain are essential to differentiate possible etiologies.

Mechanical Load Profiles in Natural Environment

Movement as a therapy for scoliosis, hacking the natural environment. Mechano-biology, Heuter Volkman, Osteocyte Biology

  • Static Loads
  • Sitting, standing, posture
  • Otolithic Influence on Postural Tone
  • Paleocortical influence on Postural Tone
  • Dynamic loads
  • Unique Environmental
  • Rising, walking, running, industrialized environments, exercise
Mechanobiology

This discipline of Biology is important in our clinical management strategies.

  • Changing Load Profiles
  • Successful long term solutions.
  • Home vs. in office care
Break
Neuromuscular Rehabilitation for Pain

  • Neurology of Pain
  • Movement and Pain
  • Compression, Isometric Exercise & Conscious Control
Risk Management- Referred Pain

Abdominal aortic aneurysms

Herniated discs and arthritides
Stenosis and Syrinx

Questions/Answers

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