Rhode Island Naturopathic Physician Continuing Education

• Define addiction, and identify the two main categories of addiction.
• List the main addictions of concern in the current addiction crisis.
• Summarize the neurophysiological and pharmacological dynamics of addiction, and appraise the possible solutions of recovery by using this information and delegating it to various medications and herbs (such as CBD oil).
• Outline some of the solutions indicated for addressing the addiction crisis and critique these treatment plans.
• Assess using herbal medicine (CBD oil) for the treatment of opioid and other addictions.

• Identify differences between strength and balance training
• Discuss the dynamic aspects of posture
• Learn aspects of Postural control in chronic LBP patients
• Understand relationship of posture and sports injuries
• Review some concepts of posture, mobility and pain in children

• Review normal cervical biomechanics and apply to examination
• Discuss some effects of manipulation on EMG/ROM
• Recognize lumbar movements during mobilization
• Discuss how whiplash invisibility is not evidence of absence of injury
• Understand muscle adaptation through stretching

• Distinguish Chiropractic influences on muscular strength
• Develop the use of hand-held dynamometry in chiropractic practice
• Identify basic strength training principles for chiropractors
• Construct basics of strength training guidelines for all ages

• Review an Introduction to the Clinical Biomechanics of Stability
• Identify causes of select musculoskeletal injuries
• Describe how LBP in golfers alters motor control
• Describe spinal stability changes with posture
• Distinguish how stability improves with resistance training

• Describe neck anticipatory control with pain
• Describe lateralized fatigue with unilateral neck pain
• Assess head and trunk motion during neck manipulation
• Identify neuromuscular dysfunction in neck pain patients
• Outline exercises for the rehabilitation of neck neuromuscular dysfunction

• Discuss the biomechanical, physiological and psychological evidence for the use of back belts
• Identify and describe recent recommendations and findings for the use of back belts.
• Discuss the principle of affordances and how they relate to environmental constraints (such as a back belt) and posture.

• Summarize the affects of low back health status on low back disorder risk
• Discuss the relation between lumbar curvature and LBP risk factors during postural loading
• Assess the relation between asymmetric lifting and spine loading
• Describe the differences in spine kinematics between LBP patients and normal controls
• Analyze the functional deficits that occur following low back disorders

• Summarize recommendations for backpack use
• Appraise recent research on backpacks and human health
• Discuss the effects of backpacks on musculoskeletal and non-musculoskeletal variables
• Describe current studies on backpack use in children: perceptions, load, biomechanics, physiology

• Learn current perspectives on which structures are strongly but variably linked to back pain
• Review the state-of-the art in low back disorders research applied to ergonomics
• Describe workplace design guidelines for asymptomatic and low back pain workers
• Determine the influence of exercise on lumbar spine disorders

• Identify common underlying causes of non-organic pain
• Recognize the eight Waddell signs of non-organic back pain
• Develop a level of knowledge, comprehension, and understanding of the medicolegal system as it relates to Waddell signs
• Encourage development and nurturing of skill sets in utilizing Waddell signs

• Determine the epidemiology of low back pain in children and adolescents
• Assess the risk factors associated with back pain in school children
• Outline the effect of an intervention to improve sitting habits in schoolchildren
• Assess the effects of reading a book or using a computer on neck and upper back muscle activity in children
• Review the diagnostic criteria of tension-type headaches in children

• Describe the basic principles of postural control
• Clinically assess postural control
• Outline a protocol of postural rehabilitation

• Outline the nature of and hallmarks of cancer
• Summarize the relationship between physical activity and cancer
• Summarize the relationship between nutrition and cancer
• Summarize the relationship between massage therapy and cancer
• Summarize the relationship between acupuncture and cancer
• Summarize the relationship between manual therapy and cancer

• Summarize the assessment and diagnosis of pain
• List and describe 5 common causes of back pain and how to prevent injury
• Outline the causes of fibromyalgia
• Illustrate the mechanisms of inflammation and pain
• Discuss the pain of peripheral neuropathy

• Evaluate the test-retest, intra- and inter-examiner reliability of the body pain diagram for determining pain distribution and location for musculoskeletal conditions
• Summarize the current state of knowledge on neuropathic pain, with focus on how it differs from nociception
• Review of the current literature regarding the epidemiology, diagnosis and management of Complex Regional Pain Syndrome
• Explore central nervous system neuroplastic adaptations that may contribute to the pathophysiology of chronic conditions
• Differentiate symptoms and signs of central sensitization, peripheral neuropathic pain and nociceptive pain in patients with low back pain (with or without leg pain)

• Gain insight into the different types of pain
• Differentiate different sources of spinal pain
• Summarize the societal and clinical challenges of the pain patient
• Describe the difference between acute and chronic pain
• Provide an initial appreciation of alternative treatment options
• Understand the importance of chiropractic principles with the pain patient

• Determine why communication is imperative in clinical encounters
• Classify rights and responsibilities of the patient -provider partnership
• Recognize barriers and benefits regarding improved communication
• Apply numerous strategies to improve and solidify patient interactions
• Summarize how to fix the system so providers will provide better quality visits

• Identify the ways your conscious or unconscious bias toward patient characteristics may enter the clinical relationship
• Outline ways to improve your clinical communication with patients who are elderly, poor or ethnic minorities.
• Distinguish male and female patient communication styles and plan what to do when your patient wants a different gender provider
• Compare the way Jewish, Irish, Italian, and other cultures present differently as patients and prepare your communication style appropriately
• Internalize the seven ideal interpersonal traits patients want in their health care providers

• Recognize deceptive behaviors from other people and integrate these skills
• Use tips garnered from former CIA officers to separate truth from lies
• Determine motivations for patients to lie to health care providers
• Strategize ways to avoid being lied to by your patients and staff
• Assess the consequences of lying and how it compromises clinical relationships

• Explain the Four Habits of Highly Effective Clinicians
• Show the payoffs for each of the habits and provide examples
• Demonstrate how to avoid “Door Knob Concerns” and uncover hidden problems
• Specify barriers to patient communication and how to overcome them
• Describe action steps to incorporate better communication habits into practice immediately

• Modify explanations about risks, harms and benefits to avoid miscommunication to patients
• Apply research concepts such as sensitivity and specificity to outcomes communications
• Identify weak spots in clinical trials with regard to benefits and harms
• Implement the best practitioner action to build trust in patients
• Discover strategies for better communicating with low functional health literacy patients

Hour 1

• Discover what primitive reflexes are and why we have them
• Understand the various possible causes of retained primitive reflexes in a child
• Outline common questions that would suggest retention of primitive reflexes
• Identify and assess eight primitive reflexes that can be easily evaluated by a doctor of chiropractic, specifically the Moro, Grasp, Spinal Galant, Rooting, Asymmetrical Tonic Neck, Symmetrical Tonic Neck, Tonic Labyrinthine, and the Landau reflexes.

Hour 2

• Further identify and assess the remaining of the eight primitive reflexes not covered in the first hour
• Detect the presence or absence of specific primitive reflexes
• Recognize the need for intervention when a retained primitive reflex is demonstrated by a patient
• Prescribe a specific course of treatment for each of the eight primitive reflexes if they are determined to be retained

• Describing hormones and their functions.
• Explaining how hormones secreted by anterior and posterior pituitary glands affect diseases and their treatment.
• Describing the role of the thyroid gland and its replacements and antagonistic medications.
• Discussing forms of steroids and corticosteroids and their role in treating disorders.
• Describing the role of antidiabetic agents and adjunctive agents in treating diabetes mellitus (DM).
• Describing role of glucose and glycogen in maintaining homeostasis.
• Providing patient education for compliance with medications used to treat diseases and conditions of the endocrine system.

• Explaining the difference between ophthalmic and otic preparations.
• Recognizing ophthalmic and otic medications and their uses.
• Describing drugs used in the treatment of ototoxicity and vertigo.
• Describing how to store ophthalmic and otic preparations to prevent their being inadvertently interchanged.
• Providing patient education for compliance with medications used to treat diseases and conditions of the eye and ear.

• Describing how topical medications are absorbed into skin.
• Explaining why some topical medications may have systemic effects.
• Discussing various classes of medications used to treat dermatologic conditions.
• Describing general properties of dermatologic preparations, both legend and over-the-counter (OTC), and their  indications.
• Defining and naming typical topical keratolytics, acne preparations, ectoparasiticidal agents, and agents for alopecia.
• Providing patient education for compliance with medications used to treat diseases and conditions of the skin.

• Describing causes and symptoms of joint and muscle pain.
• Discussing therapy for osteoporosis.
• Explaining classes of medications used to treat musculoskeletal conditions.
• Describing how muscle relaxants affect the body and appropriate patient education needed for patient safety.
• Identifying medications used for arthritis.
• Providing patient education for compliance with medications used to treat diseases and conditions of the musculoskeletal system.

• Describing how medications move through the gastrointestinal (GI) tract to be absorbed for the body’s use.
• Discussing medications used for prophylaxis in mouth and tooth disorders and as therapeutics for mouth diseases.
• Explaining actions of medications used for stomach and gallbladder conditions.
• Describing agents used for treatment of hepatitis B and C.
• Describing actions of pancreatic enzymes, antifatulents, antidiarrheals, carminatives, cathartics, and laxatives.
• Describing how anti-inflammatory agents are used with large bowel conditions.
• Discussing preparations used for anorectal disorders.
• Explaining proper choice and use of medications for intestinal parasites, including the needed prophylaxis to prevent recurrence.
• Discussing drugs used for appetite suppression and their side effects.
• Providing patient education for compliance with medications used to treat diseases and conditions of the gastrointestinal system.

• Briefly discussing the respiratory tract as a source for internal and external respirations.
• Describing the effects of antihistamines and decongestants and the use of nasal preparations with respiratory conditions.
• Briefly explaining the need for corticosteroids in acute and chronic respiratory tract diseases and associated side effects of long-term therapy.
• Discussing mucolytics, expectorants, and antitussives and their effects on respiratory secretions.
• Explaining medicinal inhibition of influenza.
• Describing medications for respiratory syncytial virus.
• Providing patient education for compliance with medications used to treat diseases and conditions of the respiratory system.

• Discussing specific electrolytes needed to achieve homeostasis and to balance extracellular and intracellular fluids.
• Describing how and what antiinfectives and antiseptics are used for urinary tract infections.
• Explaining the role of urinary tract analgesics and antispasmodics in treatment of urinary tract conditions.
• Discussing enuresis and medications used for treatment.
• Discussing medications used for treating an overactive bladder (OAB).
• Providing patient education for compliance with medications used to treat diseases and conditions of the urinary system.

• Construct examination/radiographic criteria for Osteochondritis Dissecans
• Dissect the elbow as it relates to lateral epicondylitis
• Develop a diagnostic and treatment approach for adhesive capsulitis
• Review possible causes of Intervertebral Disc Degeneration
• Create a list of differential diagnoses of foot pain

• Develop an understanding of shoulder anatomy and motion as they pertain to diagnosis and treatment of the injured shoulder
• Review examination techniques relative to diagnosis of injury in the overhead athlete
• Review the characteristics and diagnosis of shoulder injuries common to overhead athletes
• Understand the functional anatomy of joint and the classification of traumatic injuries of the acromioclavicular joint
• Develop understanding of the mechanisms, examination, diagnosis, radiography and treatment of common acromioclavicular joint injuries

• Identify common causes of patellofemoral syndrome
• Understand knee mechanics relative to patellofemoral syndrome
• Differentially diagnose patellofemoral syndrome from other knee conditions
• Define an appropriate treatment program for patellofemoral syndrome

• Identify common causes of shoulder syndrome
• Understand functional mechanics of the shoulder relative to impingement syndrome
• Differentially diagnose shoulder impingement from other shoulder conditions
• Define an appropriate treatment program for impingement syndrome.

• Identify common risk factors and causes for CTS
• Define tests and examination procedures to diagnose CTS
• List the common conditions important in the differential diagnosis of CTS
• Develop a chiropractic treatment plan for CTS

• Understand the use of plain film and advanced imaging for patients with Rheumatoid Arthritis
• Identify conservative treatments for Rheumatoid Arthritis
• Discuss supplements relative to alleviating Rheumatoid Arthritis symptoms as well as other treatment additions to the patient's drug regimen
• Provide an overview of the rheumatoid arthritis diagnosis and traditional treatments

• Understand the general features of congestive heart failure, a condition which currently affects 4.9 million Americans
• Determine physical examination and diagnostic imaging findings in patients with congestive heart failure
• Discuss treatment, including conservative management, for congestive heart failure patients
• Discuss conditions commonly associated with congestive heart failure

• Define the classifications of Breast cancer and compare the stage
• List some of the major risk factors for Breast Cancer
• List some of the screening techniques for the detection of Breast Cancer
• Discuss some main options in evaluating breast cancer
• List some of the treatment options that are available for women with a genetic predisposition for Breast Cancer

• List some of the risk factors for low back injuries in the work place
• List the classes of low back etiologies and describe some of the spinal diseases that may cause low back syndrome exacerbation
• List some of the protocols for documenting and managing repetitive stress type injuries and low back pain and describe some of the factors to consider when documenting
• List some of the clinical manifestations of pain
• Describe some of the orthopedic tests that may be utilized in the examination for low back pain
• List some treatment options for Low back injuries

• Relate relatively common but sometimes challenging patient cases
• Explain diagnostic and therapeutic considerations in thyroid disease
• Give examples of diagnostic and therapeutic considerations in drug toxicity
• Describe diagnostic and therapeutic considerations in diabetic neuropathy
• Demonstrate diagnostic and therapeutic considerations in vitamin deficiency

• Summarize premenstrual syndrome, its diagnosis, causes and natural therapies
• Understand premenstrual dysphoric disorder, its diagnosis, causes and natural therapies
• Outline polycystic ovarian syndrome, its diagnosis, causes and natural therapies
• Illustrate menopause, its diagnosis, causes and natural therapies
• Discuss nutritional support for womens health

• Differentiate between premenstrual disorder, menopause and perimenopause
• Identify the causes of Estrogen Dominance in the typical patient for patient education
• Assess hormone levels and diagnosis with saliva and blood spot testing with reputable labs listed
• Observe recorded changes in actual patient histories with treatments and results
• Apply products listed by Brand Names to use for treatments, with suggested dosages

• Diagnose Fibromyalgia and Discuss the modern research that contradicts older ideas about the syndrome, separating myth from fact
• Obtain an accurate diagnosis and differentiate from other syndromes
• Recognize prescription medication side effects
• Apply appropriate movement and exercise therapy
• Select the best alternative and holistic treatments and design a treatment plan
• Treat using integrated care, including physical, emotional and spiritual support as needed

• Detect Intracellular inflammation and its effects on the entire body
• Define Oxidation and illustrate the importance of quality anti-oxidants
• Discover affordable tests you can easily run in your office to determine levels of oxidative stress
• Recall what causes free radicals and discover what resolves the problem
• Summarize environmental toxins and their realistic effects on the health of your patients, your family and you
• Show that Insulin resistance is yesterday’s news, now it’s Hormonal resistance Analyze weight loss resistance and how to correct it
• Analyze lifestyle choices that "pull the trigger" for epigenetics and how to reverse it
• Describe the new catch-all term: Mitochondrial diseases. Formerly known as “no known cause, no known cure”
• Summarize Methylation, Methyl donors, and its depletion
• Examine cell membrane impermeability and its effect on your paradigm of health
• Determine the role of antioxidants, fatty acids, and vitamin D: what you should use in your clinic now to get people well

• Utilize Salivary pH readings to determine the need for Fatty Acid Supplementation and dietary modification
• Discuss Candidiasis with your patient and interpret the results of their home self-test
• Determine if your patient is best served with a vegetarian lifestyle, and if not, measures you can take to improve their health
• Interpret the Zinc Tally test for your patient and prescribe a treatment plan that can greatly improve the overall health and longevity of your patient
• Measure specific blood pressure readings to demonstrate adrenal hypofunction
• Formulate your treatment plan based upon your results Discover an affordable and simple test for Sick Building Syndrome, Toxic Mold and other toxic loads
• Rate a patient’s need for calcium and mineral supplementation with the easily-performed Tissue Calcium Test
• Identify important underlying factors in weight loss or gain with Barne’s Thyroid Test
• Diagnosis an underlying deficiency that contributes to immune dysfunction, metabolic dysfunction, weight gain, skin rashes and more
• Quickly determine a definitive need for hydrochloric acid supplementation in every patient with gastric upset

• Define Genetic Testing and name some of the components in the gene that are being examined.
• List some laboratory techniques used in genetic testing.
• Name some types of genetic tests and explain the purpose of the tests. 
• Describe some of the methods of obtaining gene samples for laboratory analysis
• List some of the limitations and risks for genetic testing
• Discuss some of the ethical issues in genetic testing

• Define Fibromyalgia from an allopathic perspective
• Review historical treatment by traditional medical community
• Examine current allopathic theories and treatments
• Review signs and symptoms, demographics and presentation of the fibromyalgia patient
• Obtain an accurate diagnosis through labwork and history as it pertains to the fibromyalgia patient.
• Differentially Diagnosis adrenal fatigue, perimenopause, myofascial pain syndrome, chronic fatigue
• Determine the Labwork needed to evaluate a fibromyalgia patient
• Discuss the fibromyalgia patient’s point of view of symptoms and treatments
• Contrast the varying possible diagnoses from the alternative healer viewpoint
• Explain the Fibromyalgia “personality type”
• Create a team approach with other practitioners in the treatment of the fibromyalgia patient
• Determine the appropriate organic treatments that may be needed to treat the fibromyalgia patient including Gluten intolerance, Food allergies, and Supplementation
• Discuss Musculoskeletal treatments for fibromyalgia patients including Adjustments, Massage, and Prolo therapy
• Integrate appropriate exercise and home remedies for the fibromyalgia patient including 5 Tibetan Rites, Yoga, Walking, and swimming

• Describe reasons for including neurotransmitter evaluation in a clinical practice
• Recognize that common symptom patterns that can occur from neurotransmitter imbalance
• Defend the use of urinary neurotransmitter evaluation as valid biomarkers
• Document reasons for neurotransmitter depletion
• Summarize methods of neuropharmacology intervention
• Select the appropriate test for symptom pattern Interpret neurotransmitter patterns from test results

• Discuss the effects of spinal manipulation on headache
• Refer for alternative remedies for headaches
• Evaluate the emotional and mind-body connections as it relates to headaches
• List 14 different categories of foods that can trigger a Migraine
• Discover the eastern diagnosis of underlying conditions for headaches, including emotional and spiritual blockages
• Create a treatment plan for addressing the headache and potential underlying conditions
• Differentially diagnose underlying conditions related to headache
• Educate your patients on home remedies for their headaches
• Examine the economic impact of headaches
• Discriminate between headache pains and locations
• Recognize migraine headaches, even when head pain is not present
• Specify musculoskeletal treatments to reduce or eliminate headache symptoms

• Recognize the signs and symptoms of a low back disorder
• List the differential diagnosis of low back disorders
• Outline the different elements of a low back examination
• Identify “red flags” in the examination and evaluation of low back patients
• Summarize additional low back tests that can be performed and the reasons why to use them

• Compare knee joint biomechanics during running and cutting tasks performed with and without ankle taping
• Review common and unusual causes of lateral ankle pain
• Examine the effects of foot orthotics on overpronation and gait
• Relate the current state of knowledge about the pathogenesis of hallux valgus
• Apply contemporary knowledge to the assessment, management and prevention of ankle sprains
• Appraise the relationship between posterior lower limb muscle tightness and plantar fasciitis

• Recognize the signs and symptoms of an elbow disorder
• List appropriate exam procedures for differential diagnosis of elbow disorders
• Outline the different elements of a elbow exam
• Discuss the importance of “red flags” in the exam and evaluation of elbow complaints
• Summarize additional elbow tests that can be performed and under what conditions to use them

• Identify and describe the signs and symptoms hip disorders
• Synthesize differential diagnosis of hip disorders
• Outline and analyze the different elements of a hip exam
• Comprehend the nature of spinal cord and cauda equina injuries and determine their importance in hip disorders
• Apply knowledge of available hip assessments and evaluate how each can best be utilized

• Recognize the signs and symptoms of a neck disorder
• Differentially diagnose neck disorders
• Perform the different elements of a neck exam
• Comprehend the importance of "red flags" in the exam and evaluation of neck complainants
• Summarize additional neck tests that can be performed and under what conditions to use them

• Recognize the signs and symptoms of a shoulder disorder
• Be able to list differential diagnosis of shoulder disorders
• Outline the different elements of a shoulder exam
• Understand the importance of “red flags” in the exam and evaluation of shoulder complainants
• Be able to summarize additional shoulder tests that can be performed and under what conditions to use them

• Identify important chest and thorax landmarks in order to perform a lung examination.
• Summarize the various musculature associated with adult breathing mechanics.
• Demonstrate the differences between consolidation and effusion lung pathologies.
• Diagnose common adult lung pathologies with use of a medical history and full physical examination.

• Define the differences between visual fields and pathways.
• Recognize the three most common eye conditions and diseases affecting the cranial nerves seen within the chiropractic practice.
• Diagnose common eye diseases and conditions from a funduscopic examination.
• Propose management and co-management options for specific common eye conditions.

• Explain jurisdictional authority over school enrollment and pre-participation physical examinations
• List the common items required on a school enrollment and pre-participation physical examinations
• Outline the key components of the health history
• Identify normal values for vision and hearing acuity
• Calculate BMI and determine age appropriate percentile ranking
• Classify physical maturity using the Tanner Scale
• Assess immunization records for statutory compliance
• Indicate the difference in the level of detail required in the pre-participation exam versus the school enrollment physical
• Recognize the classifications of sports based on exertion required and level of contact
• Describe the process of clearing an athlete to resume training and competition
• Recognize the risk factors to sudden cardiac death syndrome
• Determine the association between risk factors and specific sports

• Recognize the elements and significance of the jugular venous pulse
• Know the physiology and sound of S1 and S2
• Know the physiology and sound of S3 and S4
• Identify systole and diastole by palpation and listening
• Describe heart murmurs
•  Hear and understand the mechanism of two common systolic murmurs

• Justify the addition of manipulative therapy to rehabilitation in the management of recurrent ankle sprain with functional instability
• Compare the effectiveness of plantar fascia-specific stretching to high-load strength training in patients with plantar fasciitis
• Examine the biomechanical mechanisms that may be involved in the foot-to-low back relationship, and how foot orthoses might be used to manage low back pain
• Outline the state of current clinical evidence regarding the use of manual therapies in the treatment of lateral ankle sprains
• Summarize relevant concepts for the diagnosis and management of ankle syndesmosis injuries

• Differentially diagnose prostate pathologies in individuals who present to your office with musculoskeletal pain,
• Differentiate various types of common prostate pathologies
• Expand understanding of prostate pathophysiology, including hormonal and biochemical implications
• Identify prostate pathology risk factors
• Identify the common pre-disposing factors for prostate pathologies that can ultimately mimic musculoskeletal complaints
• Interpret conventional prostate diagnostic procedures and identify protocols to evaluate and monitor prostate health and/or pathology
• Hone diagnostic skills by reviewing and analyzing patient case studies, inclusive of history, exam findings, lab test results for patients presenting with musculoskeletal complaints that may have underlying prostate pathologies

• Recognize the signs and symptoms of a wrist and hand disorder
• Be able to list appropriate exam procedures for a differential diagnosis of wrist and hand disorders
• Outline the different elements of a wrist and hand exam
• Discuss the importance of “red flags” in the exam and evaluation of wrist and hand complaints
• Be able to summarize additional wrist and hand tests that can be performed and under what conditions to use them

• Outline the current state of the literature on the etiology, diagnosis and management of frozen shoulder
• Clarify the influence of the spine on shoulder range of motion in middle-aged and elderly patients
• Assess the utility of three clinical tests evaluating subscapularis muscle function
• Utilize and integrate a simple clinical test to assist in distinguishing neck from shoulder pain
• Summarize the recent Clinical Practice Guideline (APTA) regarding the treatment of adhesive capsulitis

• Recognize the signs and symptoms of a mid-back disorder
• Be able to list differential diagnosis of mid-back disorders
• Outline the different elements of a mid-back exam
• Understand the importance of “red flags” in the exam and evaluation of mid-back complainants
• Be able to summarize additional mid-back tests that can be performed and the reasons why to use them

• List five statistical references that relate to evidence based practice.
• List four Red flags that are pertinent in the evaluation component of treatment.
• Identify the five categories that pertain to possible spinal pain and referred pain.
• Describe two metabolic diseases that can affect the spine.

• This contains all courses with the educational objectives listed from Physical Diagnosis 166 through Physical Diagnosis 169

• Recognize and list four red flags for the cervical and shoulder girdle.
• Identify three medical conditions that may refer to the cervical spine but are non-musculoskeletal in origin and require a physician's intervention.
• Name and describe two CPR for the Cervical Spine.
• List two dural tests that are done for the nervous system in the Cervical region.

• Identify and describe two musculoskeletal issues of the thoracic region.
• List one dural test that is used to evaluate the thoracic region which will assist in determining normal neuromeningeal pathway mobility.
• List two CPR of the spine in the thoracic region that have good reliability and are effective in use.
• List and describe two vascular diagnoses which may relate to Thoracic Spine referred pain

• Identify two serious pathologies that appear to be related to the lumbar spine but are not.
• Describe three categories of pelvic fractures than may occur.
• Describe the objective differences between vascular claudication and neurogenic claudication.
• List the five screening tests for the pelvis and SI joint.

• Discuss the use of electrotherapy to control pain
• Establish parameters for wobble board rehabilitation of the ankle
• Describe how SI manipulation affects anterior knee pain
• Discuss the use of post-fracture manipulation
• Construct therapeutic exercises for patients with lumbar spinal stenosis

• Describe ideal pad placement for interferential therapy
• Discuss increasing muscle strength in the elderly
• Construct screening procedures and treatment for the TMJ
• Relate the evaluation and treatment of whiplash
• Review rehabilitation of ankle injuries

• Explain that the key to increased utilization of ultrasound lies in chiropractic providers knowledge and training
• Recognize the ultrasound procedure, its benefits, effects, proper application, and potential outcomes
• Point out precautions and contraindications affiliated with ultrasound
• Internalize a level of knowledge and comprehension of diathermal principles
• Develop skill sets when rendering ultrasound (continuous or pulsed) therapy

• Discuss the unique properties of lasers and their clinical applications
• Identify indications and contraindications to cold laser therapy
• List parameters and protocols of cold laser therapy
• Evaluate the current body of low level laser therapy clinical research
• Explain the advantages and disadvantages of using cold laser therapy

• Define laser
• Discuss the critical properties of laser light and the categories of lasers
• Define power density and energy density
• Recognize the factors that effect the depth of penetration of light therapies
• Explain why certain frequencies are employed with therapeutic lasers
• Discuss the proposed physiological mechanisms of light therapy
• List the contraindications and precautions for the use of low level laser therapy
• Differentiate continuous wave and super pulsed laser therapy
• Describe the application techniques for low level laser therapy
• Describe light emitting diodes
• Describe ultraviolet radiation and the difference between UVA, UVB and UVC
• List the effects of UV light
• Describe the dosage determination method for UV therapy, MED and E1 - E3
• List the contraindications and precautions to the use of UV therapy

• Identify principles, indications and contraindications for ultrasound, heat, cold and electrical modalities with a focus on the upper extremity
• Utilize clinical guidelines for applying ultrasound, heat, cold and electrical modalities with a focus on the upper extremity
• Recognize and discuss the clinical efficacy and safety parameters of ultrasound, heat, cold and electrical modalities with a focus on the upper extremity

Hour 1

• Discuss the history of elastic taping.
• Define the anatomy of fascial layers in the human body, and how the mechanotransduction concept relates to the use of elastic taping.
• Recognize the most common indications and contraindications for the use of elastic tape within the manual therapist’s practice.
• Describe the application process of elastic taping .

Hour 2

• Discuss the evidence providing support of the use of elastic taping
• Outline various conservative management options for taping musculoskeletal problems
• Construct a treatment plan for a typical patient with acute traumatic swelling
• Apply specific taping techniques for certain biomechanical dysfunctions

Hour 3

• Describe and demonstrate the application of elastic taping procedures for carpal tunnel syndrome
• Describe and demonstrate the application of elastic taping procedures for biomechanical low back pain
• Describe and demonstrate the application of elastic taping procedures for shoulder stabilization
• Describe and demonstrate the application of elastic taping procedures for knee osteoarthritis

• Examine the relationship between hip flexibility and patellofemoral pain
• Summarize the evidence pertaining to the efficacy of manual and physical therapies for the management of Patellofemoral Pain Syndrome
• Outline the possibility of a continuum existing between patellofemoral pain and patellofemoral osteoarthritis
• Discuss the evidence regarding prevalence, diagnosis and management of patellar tendinopathy
• Review the most common clinical tests used to determine balance in those with knee OA a clinical setting

• Outline the innovation of the therapy
• Summarize the Physics behind the modality
• Describe the interaction of LLLT with live tissue
• Detect the contraindications & precautions
• Assess the different LLLT devices.
• Comprehend the different types of LLLT available
• Optimize the LLLT parameters for improved outcomes
• Apply LLLT in a manner that optimizes your treatment
• Explain the physiological effects to your patients
• Examine the current clinical evidence

• Outline the neuroendocrine-immune interactions and communication pertaining to exercise
• Contrast sprint training with endurance training regarding performance adaptations and cardiac output
• Identify the benefits and underlying mechanisms of agonist-antagonist paired set training for improving strength and power
• Summarize the validity of dehydration signs, compared with body weight change, in marathon runners
• Describe methods for developing maximal neuromuscular power

• Apply contemporary rehabilitation strategies for anterior cruciate ligament patients
• Illustrate the importance of proximal stability and rehabilitation in patients with patellofemoral pain syndrome
• Outline the relationship between quadriceps strength, proprioception and knee osteoarthritis
• Discuss the potential value of gait retraining for improving lower limb biomechanics in runners with patellofemoral pain
• Contrast lower extremity kinematics & muscle activation in patients with and without patellofemoral pain syndrome

• Discuss a proposed model for the logical sequence of active rehabilitation
• Review ‘the core’, its healthy functional role and how it is commonly changed in people with spinal and pelvic girdle pain syndromes
• Describe core muscle activity during physical fitness exercises
• Provide an introduction to dynamic neuromuscular (core) stabilization and athletic performance
• Introduce the basics of exercise prescription

• Illustrate the effects of external pelvic compression on the passive, active and neuromotor control systems of the lumbopelvic region and thigh
• Summarize the importance of core stability assessment and rehabilitation in lumbosacral radiculopathy cases
• Assess the differences in torso motion and muscle activity between elliptical trainer use and treadmill walking
• Discover how even small amounts of daily exercise can positively impact patients with neck and shoulder pain
• Critique and apply periodization concepts to rehabilitation for patients with non-specific low back pain

• Outline the relationship between exercise and brain health
• Describe the evidence for the links between physical activity/exercise and brain function across the lifespan
• Discuss the neurobiology of exercise
• Assess whether exercise is neuroprotective or not
• Summarize the effect of exercise on motor performance

• Identify how the sciatic nerve and adjacent nervous structures respond to tensioning and sliding techniques
• Appraise the potential benefit of adding forward head posture corrective exercise to the management of lumbosacral radiculopathy
• Compare clinical and muscle function outcomes of patients randomized to one of two early multimodal rehabilitation programs following single-level lumbar discectomy
• Analyze the influence of neck strength and muscle activation status on resultant head kinematics after impulsive loading to the head/neck
• Assess the efficacy of corrective exercise interventions for reducing thoracic hyper-kyphosis

• Recognize and document preferred outcomes that result from properly executed active care techniques
• Establish rehab protocols for both cervical and lumbar conditions with suggested core exercise recommendations
• Properly advance a patient through their customized exercise protocol in a systematized fashion
• Identify and document progress on a routine visit basis for patients participating in active care rehab

• Evaluate the long-term effect of exercise therapy in addition to patient education on a patient’s need for total hip replacement (THR)
• Integrate clinical and laboratory research on the function and assessment of abductor muscles about the hip and pelvis 
• Understand how hip weakness can potentially contribute to knee pain and altered running mechanics
• Outline the nomenclature, definition, diagnosis, imaging and management of inguinal disruption (‘Sportsman’s Groin’) 
• Assess the efficacy of exercise interventions for lateral ankle sprains, Achilles tendinopathy and plantar fasciitis 

• Recite 3 risk factors for developing rotator cuff tendonosis
• State the purpose of the scapula reposition and scapula assistance test.
• Explain how to perform the external rotation lag sign and recall the purpose of this test
• Paraphrase one evidence - based test cluster for diagnosing a rotator cuff tear.
• Recall two indications/goals for performing posterior glenohumeral joint mobilizations.
• Cite the clinical prediction rule (CPR) for favorable outcome in patients undergoing conservative management for rotator cuff disorders
• Identify two criteria for phase I rehabilitation exercises for rotator cuff disorders

• Recall 3 potential reasons, based on expert opinion, that may contribute to the high re-tear rate following rotator cuff repair.
• Recite 4 factors that impact the rehabilitation program for patients following rotator cuff repair.
• Summarize the DeOrio classification for rotator cuff tear size.
• State 3 appropriate exercises during weeks 0-2 following rotator cuff repair
• Provide 2 appropriate exercises during weeks 6-8 following rotator cuff repair
• Name 3 appropriate exercises during weeks 8-12 following rotator cuff repair

• Discuss the epidemiologic evidence and debate about work-related musculoskeletal disorders
• Discuss the costs and financial burden associated with musculoskeletal disorders
• Discuss the factors involved in strain-induced injury of skeletal muscles
• Discuss the inflammatory process as related to musculoskeletal disorders

• Summarize the relation between neural plasticity, LBP and spinal manipulation
• Discuss the concept of intervertebral dysfunction with respect to paraspinal muscle
• Assess the correlation between back pain, disability and quality of life
• Describe a study implementing whole spine manipulation in primary care

• Summarize the dose-response relationship between chiropractic and LBP
• Discuss the differences between chiropractic adjustments and muscle relaxants for LBP
• Assess the relationship between osteopathic manipulation and prenatal outcomes
• Describe the association (or lack thereof) between spinal manipulation and lumbar disk herniations
• Analyze the results of a study on active care vs. manual therapy with active care

• Determine the effects of maintenance chiropractic care on chronic low back pain
• Delineate the demographic and clinic-related predictors for successful outcome of chiropractic patients with low back pain
• Compare individuals with and without chiropractic coverage
• Summarize the efficacy of medication, acupuncture, and spinal manipulation for chronic mechanical spinal pain syndromes
• Determine the effects of simulated spinal manipulation on facet joint strains

• Describe the principles of health behavior change
• Detail the factors that promote positive lifestyle changes
• Discuss current theories and models of behavior change
• Discuss techniques and processes of how to change health behavior

• Review articles addressing the latest information concerning chiropractic and/or spinal manipulation for neck pain and/or headaches
• Provide evidence-informed practice recommendations for the chiropractic treatment of headache in adults
• Determine the short-term effect of chiropractic joint manipulation therapy (CMT) and low-level laser therapy (LLLT) on pain and range of motion in the management of cervical facet dysfunction
• Assess whether adjusting dysfunctional cervical segments in people with subclinical neck pain can improve their upper limb joint position sense accuracy
• Investigate the efficacy of preventive spinal manipulative therapy (SMT) compared to a no treatment group in non-specific neck pain patients
• Assess the effectiveness of thoracic manipulation (TM) on patients with chronic neck pain
• Describe a randomized controlled trial comparing manipulation with mobilization for recent onset neck pain

• Review articles addressing the latest information concerning chiropractic and/or spinal manipulation of the lower back
• Assess the current scientific literature related to manipulation for acute low back pain
• Assess the current scientific literature related to manipulation for chronic low back pain
• Compare the clinical efficacy of spinal manipulation against microdiskectomy in patients with sciatica secondary to lumbar disk herniation (LDH)
• Review the Chiropractic Hospital-based Interventions Research Outcomes (CHIRO) study
• Assess maintenance spinal manipulation therapy for chronic non-specific low back pain

• Review articles addressing the latest information concerning chiropractic and/or spinal manipulation for pregnancy related low back pain and/or post-partum pain
• Review the published evidence regarding chiropractic care, including spinal manipulation, for pregnancy-related low back pain (LBP)
• Describe the clinical outcomes of patients with pregnancy-related lumbopelvic pain (PRLP) treated according to a diagnosis-based clinical decision rule
• Assess osteopathic manipulative treatment of back pain and related symptoms during the third trimester of pregnancy
• Describe the development a clinical prediction rule (CPR) for identifying postpartum women with low back pain (LBP) and/or pelvic girdle pain (PGP) whose functional disability scores improve with a high-velocity thrust technique (HVTT)

• Define Fibromyalgia according to the ACR criteria
• Discuss the history and epidemiology of Fibromyalgia
• Assess the differential diagnoses, triggers and possible causes of Fibromyalgia and discuss how they can help in the diagnosis of Fibromyalgia
• Identify several triggers for the exacerbation of Fibromyalgia
• List the symptoms of depression, grief and adjustment disorder that can be clues for the diagnosis of Fibromyalgia
• Recall the symptoms of dysfunctional sleep, chronic pain and fatigue that help to diagnose Fibromyalgia
• Compare some of the triggers that may make pain worse in the Fibromyalgia patient and factors that may decrease pain in the Fibromyalgia patient

• Define Rheumatology and Chiropractic and list similarities
• Critique some of the downfalls in today’s treatment protocol of the Rheumatic patient and explain why Chiropractors should be aware of this patient population
• Discuss Integrative Medicine and outline some of the important options for holistic treatment
• Discuss other health concerns facing the Rheumatic Patient
• List the steps used in evaluating the Rheumatic Patient
• Identify some of the tools used for diagnosis and treatment of the Rheumatic Patient
• Analyze the patient’s symptoms and test values and compare for differential diagnose
• Evaluate laboratory tests and values used to diagnose Rheumatic diseases and syndromes
• Select the best imaging techniques for specific Rheumatic diseases and soft tissue syndromes
• Identify some of the diseases specific issues in a few of the Rheumatic diseases and syndromes discussed
• Recognize the symptoms, diagnosis protocols and treatments of some of the more prevalent arthritic diseases and syndromes

• Develop a level of knowledge, comprehension, and understanding of the medicolegal system as it relates to malpractice
• Minimize risks and failure in malpractice actions
• Encourage development and nurturing of skill sets in avoiding malpractice actions
• Identify action steps for minimizing risks of malpractice actions

• Develop a level of knowledge, comprehension, and understanding of the medicolegal system as it relates to informed consent
• Minimize risks and failure in malpractice actions
• Encourage development and nurturing of skill sets in avoiding malpractice actions by utilizing properly executed informed consent
• Identify action steps for minimizing risks of malpractice actions

• Develop a level of knowledge, comprehension, and understanding of the medicolegal system as it relates to malpractice actions from neural injury
• Minimize risks and failure in malpractice actions
• Encourage development and nurturing of skill sets in avoiding malpractice actions by utilizing proper manipulative procedures, recognizing post-operative complications and risks, and identifying and managing a complication.
• Identify action steps for minimizing risks of malpractice actions from neural injury

• Emphasize that each chiropractic provider must keep informed as to the laws and their interpretation in their particular state of practice
• Identify various ingredients found in a typical judicial opinion
• Discuss what each chiropractic provider should look for when they read an opinion
• Develop a level of knowledge, comprehension, and understanding of the medicolegal system as it relates to legal opinions
• Encourage development and nurturing of skill sets in reading legal opinions by utilizing case method

• Describe each of the four elements of malpractice
• Differentiate between a bad treatment result and malpractice
• Define Duty, Dereliction of Duty, Direct causation, and Damage
• Search out a case report on-line or in a law library by using the case citation

• Identify specific conduct and activities within the practice of healthcare that violate a host of regulatory and statutory proscriptions relating to fee splits and kickbacks
• Explain the development of current fee-splitting laws
• Distinguish the letter of the law regarding fee-splitting and anti-kickback legislation from unprofessional conduct and consequent harms the statutes were enacted to discourage
• Demonstrate a working knowledge regarding the roles played by the various state and federal enforcement agencies as they related to fee splits and kickbacks
• Assess ones working knowledge regarding the process by which anti-referral safe harbors developed and how they operate

• Evaluate sample healthcare employment agreement
• Explain the components of a well drafted healthcare employment agreement
• Relate likely enforcement of provisions included in healthcare employment contract
• Assess non-compete provisions through a judicial balancing test
• Distinguish the various methods by which a court will rehabilitate certain contract provisions and selectively enforce others
• Explain what kinds of contract provisions may run afoul of state and federal laws, including fee splitting and kickback prohibitions

• Evaluate a sample sale agreement and sample letter issued to patients upon dissolution of practice
• Explain components of any well drafted buy-sell agreement including non-competes
• Identify how to handle patient records vis-à-vis the sale
• Understanding forms and laws relating to the transfer of logos, trademarks and Internet Domain Names
• HIPAA Considerations
• Acquaint oneself with the tax consequences of particular types of practice sales
• Discuss valuation methods used for determining an appropriate practice sales price
• Identify legal concerns associated with the dissolution of a healthcare practice
• Recognize how sales can trigger violations: fee splitting, patient abandonment, kickback, and anti-trust

• Identify "high risk" patients
• Design protection strategies for telephone "advice."
• List the "4 D's" of malpractice
• Differentiate clinical from administrative malpractice risks
• Distinguish malpractice from an adverse patient outcome
• Describe how a non-office encounter can create a dr/patient relationship
• Give examples of statutory duties beyond clinical care
• Explain how you can be guilty of malpractice without being negligent
• Assess office equipment hazards
• Discuss malpractice cases where patient was never given an adjustment

• Discuss problems created by leaving blank spaces in records
• Create practice appropriate SOAP note format to reduce risk exposures
• Recognize Health Questionnaire “red flag” responses

• Integrate protective “rules for recordkeeping"
• Monitor records release authorizations
• Individualize pre-printed forms to conform with your practice and reduce risk exposures

• Identify and document significant patient non-compliance
• Generate appropriate X-ray warning labels
• Identify “bad” forms
• Incorporate protective letters-writing protocols

• Recognize “exposure events” in area's of potential risk management
• Discuss proper communication of a potential exposure event with a malpractice carrier
• Maintain a healthy practice while in litigation
• Prepare staff for dealing with the publicity of litigation

• Prepare for a deposition
• Identify “informed consent” compliance
• Analyze your website for potential risk management issues
• Recognize deposition “tricks & traps”

• Properly prepare for a trial
• Prepare for lawyers questioning techniques
• Avoid detrimental body language in front of a jury
• Prepare for the phases of trial and the "down time" associated with trial

• Find and Analyze Chiropractic Malpractice Court Opinions
• Justify referral protocols
• Plan staff training to avoid "vicarious liability"
• Interpret "lawyer-speak" like "vicarious liability"
• Assess equipment risk
• Differentiate between good PR & sexual harassment
• Generate HIPAA compliance strategies w/o paranoia
• Appraise partnership, independent contractor and doctor/associate risks
• Implement Table safety procedures
• Recognize "exposure events"

• Assess state, federal and board rulings regarding fee discounts, particularly time-of-service discounts and hardship discounts, and the extent to which they may be impacted by anti-kickback legislation, insurance regulations, self-referral laws, marketing restrictions, and the tenets of unprofessional conduct..
• Identify potential problems associated with routine approval of hardship discounts and the requirement for inquiry and documentation regarding qualifying for same.
• Distinguish between appropriate and inappropriate/illegal marketing relating to fees and professional services.
• Demonstrate how these discounts are regarded by relevant professional boards, and state and federal enforcement agencies.
• Explain terms associated with time of service discounts and relevant factors associated in calculating an appropriate reduction in fees.
• Identify specific conduct and activities within the practice of healthcare that violate a host of regulatory and statutory proscriptions relating to pre-paid fee arrangements.
• Explain the development of current fee discounting legislation, rules and holdings.
• Distinguish between appropriate and inappropriate/illegal marketing relating to fees and professional services.
• Demonstrate a working knowledge regarding the roles played by the various state and federal enforcement agencies as they related to fee splits and kickbacks.
• Assess one’s working knowledge regarding the process by which state and federal rulings regarding fees impact a healthcare provider’s practice in light of marketing, fee-splitting and anti-kickback legislation, insurance regulations, self-referrals, and the tenets of unprofessional conduct generally.
• Verify how certain discount practices may be legally actionable as “improper inducements.”
• Evaluate federal Stark legislation and the discouragement of corruption in sound professional healthcare decision-making.
• Identify distinctions between federal anti-kickback and the federal Stark legislation.
• Critique state anti-kickback laws.
• Recognize the role the FTC played, and continues to play, in discouraging the fraudulent marketing of discount health care programs.
• Draw associations between co-pay requirements, consumer habits and federal healthcare expenditures.
• Assess how "professional courtesy" discounts may raise enforcers' concerns under the federal anti-kickback statute.
• Diagram how prepaid fee arrangements often resemble health insurance to unwitting patients.
• Illustrate pitfalls that advertising discounts visit on the practitioner.

• Assess state, federal and board rulings regarding fee discounts, particularly time-of-service discounts and hardship discounts, and the extent to which they may be impacted by anti-kickback legislation, insurance regulations, self-referral laws, marketing restrictions, and the tenets of unprofessional conduct..
• Identify potential problems associated with routine approval of hardship discounts and the requirement for inquiry and documentation regarding qualifying for same.
• Distinguish between appropriate and inappropriate/illegal marketing relating to fees and professional services.
• Demonstrate how these discounts are regarded by relevant professional boards, and state and federal enforcement agencies.
• Explain terms associated with time of service discounts and relevant factors associated in calculating an appropriate reduction in fees.
• Identify specific conduct and activities within the practice of healthcare that violate a host of regulatory and statutory proscriptions relating to pre-paid fee arrangements.
• Explain the development of current fee discounting legislation, rules and holdings.
• Distinguish between appropriate and inappropriate/illegal marketing relating to fees and professional services.
• Demonstrate a working knowledge regarding the roles played by the various state and federal enforcement agencies as they related to fee splits and kickbacks.
• Assess one's working knowledge regarding the process by which state and federal rulings regarding fees impact a healthcare provider's practice in light of marketing, fee-splitting and anti-kickback legislation, insurance regulations, self-referrals, and the tenets of unprofessional conduct generally.

• Assess the role the doctor-patient relationship plays in allegations of Patient Abandonment
• Identify the components to any successful Patient Abandonment charge
• Discuss court cases evaluating whether the doctor-patient relationship had been terminated lawfully
• Distinguish between proper and improper considerations a doctor may rely upon to either refuse to undertake, or to terminate, a doctor-patient relationship
• Explain the role notice plays in lawfully terminating a doctor-patient relationship
• Evaluate the role consent plays in the establishment of the doctor-patient relationship, and in subsequent treatment

• Identify specific conduct and activities within the practice of healthcare that violate a host of regulatory and statutory proscriptions relating to fee splits and kickbacks
• Explain the development of current fee-splitting laws
• Distinguish the letter of the law regarding fee-splitting and anti-kickback legislation from unprofessional conduct and consequent harms the statutes were enacted to discourage
• Demonstrate a working knowledge regarding the roles played by the various state and federal enforcement agencies as they related to fee splits and kickbacks
• Assess ones working knowledge regarding the process by which anti-referral safe harbors developed and how they operate

• Develop a level of knowledge, comprehension, and understanding of the medicolegal system as it relates to the practice of forensic science
• Identify a new dimension of chiropractic practice that will minimize risks and failure in court appearances as a practitioner
• Construct skill sets in forensic examination and document review

• Acquire a current knowledge base relating to medicolegal issues
• Identify risks and liabilities that may be encountered by examiners with electronic communications
• Develop a level of understanding of the medicolegal system as it relates to Junk Science

• Develop a level of knowledge, comprehension, and understanding of the medicolegal system as it relates to the ethical expert witness
• Introduce a new dimension of chiropractic practice that will minimize risks and failure in court appearances as an ethical expert witness.
• Encourage development and nurturing of skill sets in forensic examination and appearing as an expert witness through certification.
• Develop a level of understanding of the medicolegal system as it relates to the ethical expert witness.

• Emphasize that each chiropractic provider must keep informed as to the laws and their interpretation in their particular state of practice
• Identify Daubert criteria
• Discuss what each chiropractic expert should look for when preparing for the opposing attorney
• Develop a level of knowledge, comprehension, and understanding of the medicolegal system as it relates to Daubert challenges
• Encourage development and nurturing of skill sets in proving expert opinions

• Emphasize that each chiropractic provider must keep informed as to the laws and their interpretation in their particular state of practice
• Identify the basics of a deposition
• Discusses the tricky question types and suggested responses
• Develop a level of knowledge, comprehension, and understanding of the medicolegal system as it relates to the deposition process
• Encourage development and nurturing of skill sets in responding to questions posed in a deposition

• Perform professional advertising and marketing that passes state and federal legal restriction.
• Comprehend requirements for advertising testimonials, press releases, television, radio, Internet, personal solicitation and other marketing initiatives.
• Comprehend the limits of commercial speech (advertising) within the arena of professional healthcare marketing and dissemination of information.
• Train staff and implement policies associated with marketing initiatives and materials vis-a-vis state rules, regulations and statutes.
• Comprehend issues associated with signage, listings, letterhead, and other matters of ostensible agency that may lead to liability.
• Administer professional marketing such that it neither misleads, confuses nor exploits members of the public.
• Discuss how nutritional supplementation labeling and HIPAA affects professional healthcare marketing efforts.
• Undertake a review of marketing materials and initiatives so as to ensure compliance with relevant state rules, regulations and statutes.
• Administer coverage decisions, professional referrals, and communicate same in a manner that limits professional liability.

• Distinguish between fraud, waste and abuse
• Review and properly utilize your Medicare Local Coverage Articles (LCA)
• Integrate critical compliance requirements for minimum, mandatory, annual self-audits  
• Detect common billing protocols that are red-flags for third-party auditors and chiropractic boards of examiners

• Explain the anatomy and functionality of healthy soft tissue components
• Explain the effects of injury on soft tissue
• Define effects of injured soft tissue on functionality of the spine and extremities
• Discuss patterns of musculoskeletal relationships of recruiting other structures after injury and their effects on functionality
• Describe various methods of treatment for dysfunctional soft tissue
• Explain relationship of injured tissue to its surrounding structures, its effects and treatment
• Explain compensation and recruitment of healthy tissue to the broader scope of complications and the effective treatment of primary and now secondary effects of injury
• Describe rehabilitation exercises in relation to proprioception

• This contains all courses with the educational objectives listed from Soft Tissue Injuries 101 to Soft Tissue Injuries 104 

• Explain the types of soft tissue
• Demonstrate and discuss diagnostic evaluation of soft tissue injury
• Explain pain patterns of neurological injury for differential diagnosis
• Discuss types of soft tissue injuries
• Evaluate soft tissue changes associated with pain
• Discuss the mechanisms of healing soft tissue injuries
• Describe diagnostic tools in determining soft tissue injuries
• Explain the use of ice and heat in soft tissue injuries
• Demonstrate and discuss stretching; passive, active and postfacilitation
• Demonstrate and discuss somatic technique
• Demonstrate and discuss strain/counterstrain
• Demonstrate and discuss friction massage
• Demonstrate and discuss Postisometric relaxation
• Demonstrate and discuss electrical muscle stimulation and ultrasound
• Demonstrate and discuss triggerpoint ultrasound in treatment
• Discuss massage therapy
• Demonstrate and discuss myofascial release
• Demonstrate and discuss active release
• Demonstrate and discuss Neuromuscular Therapy (NMT)
• Discuss cold laser therapy
• Demonstrate and discuss exercise rehabilitation and muscle strengthening
• Discuss mobilization and manipulation

• Explain the structural anatomy of the shoulder and its soft tissue
• Explain the functional anatomy of the shoulder and its soft tissue.
• Demonstrate the active and passive examination of the shoulder and soft tissue.
• Describe pathological conditions of the bony structures, joints, ligaments, tendons, bursa and muscles of the shoulder
• Describe sports injures to the shoulder.
• Describe injuries to the nerves, blood vessels and fascia of the shoulder.
• Demonstrate soft tissue treatments for pathological conditions of the bony structures, joints, ligaments, tendons, bursa and muscles of the shoulder.
• Demonstrate soft tissue treatments for the nerves, blood vessels and fascia of the shoulder.
• Define functional relationships of the shoulder with associated regions

• Explain the structural anatomy of the elbow, wrist, and hand and associated soft tissue
• Explain the functional anatomy of the elbow, wrist, and hand and associated soft tissue
• Demonstrate the passive examination of the elbow, wrist, and hand and associated soft tissue
• Demonstrate the active examination of the elbow, wrist, and hand and associated soft tissue
• Describe pathological conditions of the bony structures, joints, ligaments, tendons, muscles, fascia, bursa and nerves of the elbow, wrist, and hand
• Demonstrate soft tissue treatments for pathological conditions of the bony structures of the elbow, wrist and hand
• Demonstrate soft tissue treatments for the joints, ligaments, tendons, muscles, fascia, bursa and nerves of the elbow, wrist and hand
• Define functional relationships between the elbow, wrist and hand and with other regions

• This contains all courses with the educational objectives listed from Soft Tissue Injuries 105 to Soft Tissue Injuries 107 

• Explain the structural anatomy of the bones and joints of the cervical spine, ligaments and muscles of the cervical spine and the nerves, blood vessels and fascia of the cervical spine
• Explain the functional anatomy of the bones and joints of the cervical spine, the ligaments and muscles of the cervical spine and the nerves, blood vessels and fascia of the cervical spine
• Demonstrate the passive examination of the bones and joints of the cervical spine, the ligaments and muscles of the cervical spine and the nerves, blood vessels and fascia of the cervical spine
• Demonstrate the active examination of the bones and joints of the cervical spine, the ligaments and muscles of the cervical spine and the nerves, blood vessels and fascia of the cervical spine
• Discuss imaging of the cervical spine
• Discuss advanced testing of the soft tissue of the cervical spine
• Describe pathological conditions of the bony structures, joints, ligaments, tendons, muscles, nerves, blood vessels and fascia of the cervical spine
• Explain the mechanism of acceleration/deceleration impact
• Explain the effects on the cervical spine from acceleration/deceleration injury, and specifically the effects on the soft tissues structures
• Explain the grading system for acceleration/deceleration injury
• Demonstrate soft tissue treatments for the pathological conditions of the bony structures, joints, ligaments, tendons, muscles, blood vessels, nerves and fascia of the cervical spine
• Demonstrate soft tissue treatments for the sequela of acceleration/deceleration injury
• Define relationships of the cervical spine with other regions

• Explain the structural anatomy of the TMJ and its soft tissue
• Explain the functional anatomy of the TMJ and its soft tissue
• Demonstrate the passive examination of the TMJ and soft tissue
• Demonstrate the active examination of the TMJ and soft tissue
• Describe pathological conditions of the bony structures of the TMJ
• Describe pathological conditions of the joints of the TMJ
• Describe pathological conditions of the ligaments of the TMJ
• Describe pathological conditions of the muscles of the TMJ
• Describe injuries to the nerves, blood vessels and fascia of the TMJ
• Describe injuries from acceleration/deceleration impact to the TMJ
• Demonstrate soft tissue treatments for the joints of the TMJ
• Demonstrate soft tissue treatments for the ligaments of the TMJ
• Demonstrate soft tissue treatments for the muscles of the TMJ
• Demonstrate soft tissue treatments for the nerves, blood vessels and fascia of the TMJ
• Demonstrate soft tissue treatments for acceleration/deceleration injury to the TMJ
• Define functional relationships of the TMJ with associated regions

• Explain the structural anatomy of the bones, joints, ligaments, muscles nerves, blood vessels and fascia of the thoracic spine and rib cage
• Explain the functional anatomy of the bones, joints, ligaments, muscles nerves, blood vessels and fascia of the thoracic spine and rib cage
• Demonstrate the passive examination of the bones, joints, ligaments, muscles nerves, blood vessels and fascia of the thoracic spine and rib cage
• Demonstrate the active examination of the bones, joints, ligaments, muscles nerves, blood vessels and fascia of the thoracic spine and rib cage
• Discuss imaging of the thoracic spine and rib cage
• Describe pathological conditions of the bones, joints, ligaments, muscles nerves, blood vessels and fascia of the thoracic spine and rib cage
• Demonstrate soft tissue treatments for the bones, joints, ligaments, muscles nerves, blood vessels and fascia of the thoracic spine and rib cage
• Discuss relationships of the thoracic spine and ribs with other regions

• Explain the structural anatomy of the bones, joints, ligaments, muscles, bursa, nerves, blood vessels and fascia of the lumbopelvic spine
• Explain the functional anatomy of the bones, joints, ligaments, muscles, bursa, nerves, blood vessels and fascia of the lumbopelvic spine
• Explain biomechanics of the lumbopelvic spine
• Demonstrate the passive examination of bones, joints, ligaments, muscles, bursa, nerves, blood vessels and fascia of the lumbopelvic spine
• Demonstrate the active examination of the bones, joints, ligaments, muscles, bursa, nerves, blood vessels and fascia of the lumbopelvic spine
• Discuss radiographic imaging of the lumbopelvic spine
• Discuss advanced testing of the soft tissue of the lumbopelvic spine
• Describe pathological conditions of the bones, joints, ligaments, muscles, bursa, nerves, blood vessels and fascia of the lumbopelvic spine
• Demonstrate soft tissue treatments for the pathological conditions of the bones, joints, ligaments, muscles, bursa, nerves, blood vessels and fascia of the lumbopelvic spine
• Define relationships of the lumbopelvic spine with other regions

• Explain the structural anatomy of the bones, joints, ligaments, muscles, bursa, nerves, blood vessels and fascia of the hip and knee
• Explain the functional anatomy of the bones, joints, ligaments, muscles, bursa, nerves, blood vessels and fascia of the hip and knee
• Explain biomechanics of the hip and knee
• Demonstrate the passive examination of the bones, joints, ligaments, muscles, bursa, nerves, blood vessels and fascia of the hip and knee.
• Demonstrate the active examination of the bones, joints, ligaments, muscles, bursa, nerves, blood vessels and fascia of the hip and knee
• Discuss radiographic imaging of the hip and knee
• Discuss advanced testing of the soft tissue of the hip and knee
• Describe pathological conditions of the bones, joints, ligaments, muscles, bursa, nerves, blood vessels and fascia of the hip and knee
• Demonstrate soft tissue treatments for the pathological conditions of the bones, joints, ligaments, muscles, bursa, nerves, blood vessels and fascia of the hip and knee
• Define relationships of the hip and knee with other regions

• Explain the structural anatomy of the bones, joints, ligaments, muscles, bursa, nerves, blood vessels and fascia of the ankle and foot
• Explain the functional anatomy of the bones, joints, ligaments, muscles, bursa, nerves, blood vessels and fascia of the ankle and foot
• Explain biomechanics of the ankle and foot
• Demonstrate the passive examination of the bones, joints, ligaments, muscles, bursa, nerves, blood vessels and fascia of the ankle and foot
• Demonstrate the active examination of the bones, joints, ligaments, muscles, bursa, nerves, blood vessels and fascia of the ankle and foot
• Discuss radiographic imaging of the ankle and foot
• Discuss advanced testing of the soft tissue of the ankle and foot
• Describe pathological conditions of the bones, joints, ligaments, muscles, bursa, nerves, blood vessels and fascia of the ankle and foot
• Demonstrate soft tissue treatments for the pathological conditions of the bones, joints, ligaments, muscles, bursa, nerves, blood vessels and fascia of the ankle and foot
• Define relationships of the ankle and foot with other regions.

• Discuss the development of strain/counterstrain
• Describe the theory of strain/counterstrain
• Describe the physiology of neuromuscular function
• Describe the diagnosis of tenderpoints and treatment  prioritization
• Discuss the technique of strain/counterstrain
• Explain tenderpoints
• Discuss method to locate tenderpoints
• Describe conditions that respond to strain/counterstrain
• Discuss treatment for the spine, TMJ and extremities
• Discuss treatment for craniosacral dysfunctions

• Discuss the benefits and protocols of stretching
• Discuss the theory and protocols of exercise rehabilitation
• Discuss the evaluation of posture
• Demonstrate postural corrections for the whole body
• Discuss proprioception in relation to core stability
• Demonstrate stretching and strengthening for the core
• Demonstrate balance work in relation to core strength
• Demonstrate stretching and strengthening for the foot, ankle, anterior compartment,  hamstrings, quadratus femoris, tensor fascia lata, adductor group, gluteal group, and iliopsoas, lumbar spine, thoracic spine, ribs, chest, cervical spine, TMG, shoulder, arm, forearm, wrist and hand
• Describe Yoga and Pilates for the whole body

• Explain the function of soft tissues
• Describe the development of scar tissue and adhesions in fascia, connective tissue, muscles, tendons, ligaments and joint capsules
• Discuss the benefits of deep tissue muscle and fascial release
• Define friction massage
• Describe friction massage for the upper extremity, lower extremity, spine and TMJ
• Define myofascial release
• Describe myofascial release for the upper extremity, lower extremity, spine and TMJ
• Define active release
• Describe active release for the upper extremity, lower extremity, spine and TMJ
• Define trigger point ultrasound
• Describe trigger point ultrasound for the upper extremity, lower extremity, spine and TMJ

• Educate patients on the function of soft tissues and the benefits of deep tissue muscle and fascial release.
• Describe the development of scar tissue and adhesions in fascia, connective tissue, muscles, tendons, ligaments and joint capsules.
• Perform postfacilitation stretch to the upper extremity, lower extremity and spine
• Perform somatic technique for the upper extremity, lower extremity and spine
• Utilize active release with your patient population
• Perform postisometric relaxation for the upper extremity, lower extremity and spine
• Apply therapeutic exercise and rehabilitative stretching with patients

• Describe the kinematics of acceleration/deceleration impact.
• Comprehend the history and development of acceleration/deceleration research.
• Defend injury manifestation using Whiplash guidelines and models.
• Apply current model theories to better understand injury from acceleration/deceleration impact.
• Explain to the patient the effects on the body during front, rear and side collisions.
• Educate the patient on variables such as vehicle size and direction and the effects on the human frame during acceleration/deceleration impact.
• Apply the variables of patient age, gender, size, etc during acceleration/deceleration impact.
• Express an understanding of incidence, prevalence, injury and risk factors associated with acceleration/deceleration impact.
• Describe the normal biomechanics of the cervical spine.
• Discuss cervical spinal anatomy vulnerable to injury.
• Define the nature of soft tissue structures; joints, ligaments, muscles, bursa, nerves, blood vessels and fascia.
• Inform your patients of the symptoms and changes to soft tissue structures after acceleration/deceleration impact.
• Explain the differences between scleratomal, dermatomal and myofascial pain.
• Discuss prognosis after acceleration/deceleration impact.
• Describe the normal biomechanics of the TMJ and associated soft tissue structures.
• Discuss injury to the TMJ and associated soft tissue structures.
• Explain the effects of trauma to the soft tissue of the spine, structures of the shoulder, elbow, wrist, hand, hip, knee, ankle and foot after acceleration/deceleration impact.
• Describe the normal biomechanics of the thoracic spine and rib cage.
• Describe the normal biomechanics of the lumbopelvic spine.
• Educate the patient on complicating factors for treatment after acceleration/deceleration impact.
• Determine the necessity and value of imaging and advanced diagnostic imaging after acceleration/deceleration impact.
• Perform complete examination of the soft tissue structures of the cervical spine, TMJ, thoracic spine, rib cage, lumbopelvic spine, shoulder, elbow, wrist, hand, hip, knee, ankle and foot after acceleration/deceleration impact.
• Utilize treatment protocols for soft tissue damage after acceleration/deceleration impact.
• Perform soft tissue treatments such as strain/counterstrain, postisometric relaxation, postfacilitation stretch, somatic technique, active and myofascial release, exercise and stretch, mobilization, manipulation and modalities.
• Utilize above mentioned soft tissue techniques to treat the cervical spine, TMJ, thoracic spine, rib cage, lumbopelvic spine, shoulder, elbow, wrist, hand, hip, knee, ankle and foot after acceleration/deceleration impact.
• Communicate to your patients the late effects of soft tissue injury after acceleration/deceleration impact.

• Describe biomechanics of movement of the joints, ligaments, muscles, tendons, bursa, nerves and fascia of the lower extremity, pelvis and spine, TMJ and upper extremity.
• Explain weight distribution and movement of ligaments, muscle and fascia in relation to the feet as foundation.
• Discuss soft tissue movement during standing, walking, running, twisting, bending, reaching and grasping.
• Relate movement interactions and stresses on soft tissues from one body region to another.
• Demonstrate to your patients, correct posture from the feet as foundation to the cervical spine.
• Educate and demonstrate the correct use of the core in posture.
• Show patients how to relax their shoulders using the thoracic spine as a lever.
• Describe and demonstrate appropriate gait in relation to correct posture.
• Explain to your patient how the soft tissue adapts to an unstable scoliosis.
• Apply understanding of injury dynamics in individual soft tissue structures (ligament, musculotendon, bursa, nerve, fascia).
• Interrelate soft tissue contractures from one region of the body to another.
• Learn passive and active examination techniques for all soft tissue structures of the soft tissue structures mentioned in Educational Objective 1.
• Review Applied Kinesiology as a tool for muscle isolation and clinical testing.
• Differentiate muscle strength testing from the proprioception evaluation of Applied Kinesiology.
• Integrate Applied Kinesiology examination and treatment into soft tissue evaluation and case management.
• Clinical examination of soft tissue structures of the soft tissue structures mentioned in Educational Objective 1.
• Apply examination findings into differentially diagnosing soft tissue fibrosis, scar tissue and adhesions, trigger points and pain radiation patterns.
• Inter-relate different regions of the body with local soft tissue findings.
• Discern appropriate clinical application for advanced imaging studies and soft tissue.
• Apply treatment protocols for ice, heat, stretching, Somatic Technique, Strain/counterstrain, friction massage, post-isometric relaxation, modalities, massage techniques, myofascial release, active release, Neuromuscular therapy, cold laser, exercise rehabilitations, mobilization and manipulation.
• Apply techniques mentioned in Educational Objective (above) as well as Applied Kinesiology to all joints, ligaments, muscles, tendons, bursa, nerves and fascia of the lower extremity, pelvis and spine, TMJ, and upper extremity.
• Relate treatments to improved movement locally, regionally and other affected regions and educate your patient to reasonable goals.
• View the soft tissue structures of the body as a whole with recognizable patterns of dysfunction and treat these soft tissues for greater flexibility and function.

Hour 1

• Discuss the soft tissues of the body for examination protocol and differential diagnosis.
• Correlate soft tissue pain radiation patterns and history to focus examination to appropriate soft tissues.
• Explain to your patient the types of soft tissue pain and injuries related to their condition.
• Identify soft tissue dysfunction consistent with injury.
• Utilize passive examination techniques to accurately record the effects of soft tissue injury to local and regional soft tissues.

Hour 2

• Utilize active examination techniques to accurately record the effects of soft tissue injury to local and regional soft tissues.
• Discern between neurological muscle strength testing, proprioceptive muscle strength testing using Applied Kinesiology and actual muscle fiber strength.
• Apply biomechanics of the upper and lower extremities, spine and TMJ to soft tissue examination protocol.
• Relate the biomechanical movement of the soft tissues of the foot and ankle to associated soft tissues during evaluation.
• Perform examination of the soft tissue structures of the foot and ankle as the biomechanical foundation of the body.

Hour 3

• Apply biomechanics of the entire lower extremity to soft tissue examination protocol.
• Relate the biomechanical movement of the soft tissues of the knee to associated soft tissues for evaluation.
• Perform examination of the soft tissue structures of the knee.
• Relate the biomechanical movement of the soft tissues of the hip to associated soft tissues during evaluation.

Hour 4

• Perform examination of the soft tissue structures of the hip.
• Relate the biomechanical movement of the soft tissues of the lumbopelvic spine to associated soft tissues for evaluation.
• Describe the movement of the soft tissues of the lumbar spine and sacroiliac joints for better patient compliance.
• Perform passive examination of the soft tissue structures of the lumbopelvic spine.

Hour 5

• Perform active examination of the soft tissue structures of the lumbopelvic spine.
• Relate the biomechanical movement of the soft tissues of the thoracic spine and rib cage to associated soft tissues for evaluation.
• Describe the movement of the soft tissues of the thoracic spine and rib cage for better patient compliance.
• Perform passive and active examination of the soft tissue structures of the thoracic spine and rib cage.

Hour 6

• Summarize biomechanics of the soft tissues of the cervical spine in their relation to the cranium.
• Relate the biomechanical movement of the soft tissues of the cervical sp8ine to associated soft tissues for evaluation.
• Perform soft tissue passive and active examination of the cervical spine.
• Determine cervical soft tissue dysfunction and its effects on the trunk, upper extremity and TMJ.

Hour 7

• Explain to patients the biomechanics of the TMJ in relation to their pain; and jaw and cervical spine dysfunction.
• Relate TMJ dysfunction in relation to biomechanical disturbances to the soft tissue of the cervical spine.
• Perform examination of the soft tissues of the TMJ with objective measurements to determine, record and track dysfunction and improvement.
• Describe the biomechanical movements of the shoulder.
• Relate the biomechanical movements of the shoulder to associated soft tissue structures of the cervical spine and thoracic spine and rib cage.

Hour 8

• Summarize biomechanics of the soft tissues of the elbow, wrist and hand for the purposes of examination.
• Relate the rotational movement of the shoulder, elbow, wrist and hand to determine soft tissue injury and dysfunction to associated soft tissue structures.
• Perform examination of the soft tissues of the elbow, wrist and hand to determine injury and dysfunction.
• Utilize appropriate advanced imaging methods for particular soft tissue structures.

Hour 1:

• Comprehend the human frame as interrelated biomechanical systems.
• Relate the functional anatomy of soft tissue structures to the movement of the human frame.
• Discern the six types of soft tissue end feel for evaluation of injury.
• Perform passive and active examination according to protocol developed by James Cyriax, MD.
• Distinguish between the types of injury and their effects on the soft tissues.

Hour 2:

• Identify soft tissue changes associated with injury.
• Discern which phase of healing is associated with the current presentation of injury.
• Apply mechanisms of healing to treatment protocol.
• Discuss diagnostic tools used to identify soft tissue injury.
• Utilize appropriate ice, heat and stretch protocols in the treatment of soft tissue injury.

Hour 3:

• Explain and perform Somatic Technique and Strain/Counterstrain.
• Understand friction anesthesia and palpatory methods for identifying trigger points.
• Differentiate between Postisometric Relaxation and Postfacilitation Stretch.
• Apply specific modalities for particular soft tissue injury patterns.
• Perform soft tissue restriction release methods.

Hour 4:

• Discern between mobilization and manipulation.
• Apply biomechanics of foot arch function to injury.
• Explain dynamic changes of foot during weight bearing, and walking on even and uneven surfaces.
• Utilize treatment protocols for common ankle sprains.
• Perform osseous manipulation to the bones of the foot and ankle.

Hour 5:

• Perform Strain/Counterstrain on the foot and ankle as an effective tool to release spasm and fixations.
• Discern and treat various pathological conditions related to the knee.
• Utilize myofascial release techniques to treat entrapment syndromes of the lower extremity.
• Explain functional movement of the hip.
• Apply functional kinesiology to the evaluation and treatment of the muscles associated with the hip.

Hour 6:

• Utilize treatment methods for contracted soft tissues of the lateral hip.
• Perform treatment protocols for the hamstrings/quadratus femoris.
• Explain the dynamics of correct posture.
• Recognize normal versus abnormal gait in patient observation.
• Describe nutation and counternutation of the pelvis.

Hour 7:

• Understand the various movements and fixations patterns in the Sacroiliac joints.
• Perform Strain/Counterstrain for the pelvis.
• Utilize a disc pump correction for mild to moderate disc lesions.
• Demonstrate James Cyriax MD protocol from manipulation of the low back.
• Devise a treatment protocol for sprain of the iliolumbar ligament.

Hour 8:

• Apply movement dynamics of the lumbopelvic spine to soft tissue injury.
• Utilize chest movement dynamics to help determine injury to the thoracic spine and rib cage.
• Provide affective treatment of the rib cage specific to rib articulations.
• Perform somatic Technique to the trapezius muscle for muscle awareness.
• Apply treatments to soft tissues of the rib cage without using electric modalities.

Hour 9:

• Discuss cervical spine mechanics as it applies to soft tissue injury.
• Create muscle awareness of the cervical extensor group with Somatic Technique.
• Reduce pain and spasm in an acute cervical spine injury using Strain/Counterstrain.
• Apply myofascial release to the soft tissues of the posterior cervico-thoracic spine.
• Educate the patient on corrective scoliosis exercises.

Hour 10:

• Relate the functional anatomy of the TMJ to soft tissue injury.
• Discern between Acute Closed lock and Acute Open Lock of the TMJ.
• Apply soft tissue treatments to the muscles of the TMJ.
• Use movement dynamics of the shoulder to better evaluate injury.
• Utilize a variety of soft tissue treatment in the treatment of adhesive capsulitis of the shoulder.

Hour 11:

• Differentially diagnose acromioclavicular joint injury and apply treatment to grades 1-3.
• Use soft tissue methods to treat the muscles of the rotator cuff.
• Discern and treat soft tissue structures related to the scapula.
• Perform a scapula mobilization technique to free up the functional scapulo-thoracic joint.
• Apply mechanisms of throwing to soft tissue injury and treatment.

Hour 12:

• Describe various soft tissue treatments for the elbow, wrist and hand and related functional dynamics of injury.
• Osseously manipulate the joints of the elbow, wrist and hand.
• Perform soft tissue treatment methods for injury to the myofascia associated with the upper extremity.
• Discern and treat all injured tendon sheath components of the wrist using soft tissue treatment methods.
• Differentially diagnose and treat nerve entrapment syndromes for the upper extremity.

• Explain the structural components of soft tissue.
• Relate impact forces to functional movements of soft tissue and the development of scar tissue and adhesions.
• Demonstrate diagnostic evaluation of soft tissue injury.
• Differentially diagnose types of soft tissue injury.
• Discuss the patterns of healing of soft tissue injuries.
• Describe the diagnostic tools in determining soft tissue injuries.
• Relate stress responses of soft tissues to development of structural and functional changes to injured tissues and their associated regions.
• Perform diagnostic tests and order imaging to best determine injury to soft tissue.
• Instruct the patient on correct application of ice and wet heat for soft tissue injury.
• Perform and explain proper stretching; passive, active and postfacilitation of soft tissues.
• Learn which therapy machines are best suited for your practice.
• Utilize infrared and electrical muscle stimulation in soft tissue injury.
• Apply appropriate contraindications of electric modalities to the individual patient’s care.
• Discern between the various EMS options for each soft tissue and injury (Interferentail current, galvanic, microcurrent, sine wave, Russian stimulation).
• Determine the most effective type of ultrasound for treatment of particular soft tissue injuries.
• Learn the benefits and applications of cold laser therapy.
• Understand the variety of massage therapy protocols and their applications.
• Discuss the benefits of each form of modality with your patient.
• Demonstrate and discuss exercise rehabilitation and muscle strengthening.
• Apply a combination of modalities for specific conditions of the upper and lower extremities and the spine.

• Discuss the normal function of soft tissues for support and movement to relate soft tissue injuries to postural anomalies. 
• Utilize the evaluation of the feet as a foundation for full body postural adaptations.
• Relate normal biomechanics of the foot, ankle, knee, hip, pelvis, spine, TMJ and upper extremities to normal posture and movement.
• Apply findings of injured soft tissues of the foot, ankle, knee, hip, pelvis, spine, TMJ and upper extremities to evaluation of normal and abnormal postural distortions.
• Discuss dynamic muscle stabilizers in the pelvis and abdominal core in relation to normal movement and fixations in the hip and pelvis.
• Relate the thoracic spine and rib cage to dynamic movement and postural adaptations in the spine, upper and lower extremities.
• Evaluate cervical joint dynamics in relation to compensations from the thoracic spine and rib cage, upper extremity and TMJ.
• Discern impact of TMJ function on cervical spine posture and head tilt.
• Relate abnormal scapular, glenohumeral joint and rotator cuff function to specific spinal and upper extremity postural distortions.
• Educate the patient in normal standing, seated, computer ergonomic, reclined, recumbent positions and normal gait to discern and recognize postural abnormalities.
• Relate functional dynamics during Acceleration/Deceleration Impact to soft tissue injury and postural adaptations to those injuries.
• Define causative factors for Scoliosis and relate muscle disparities of the multifidus to spinal, pelvic, rib cage and shoulder postural distortions for treatment protocol.
• Educate on causes of shoulder rounding, shoulder elevation; and backpack, throwing, tennis, golf, swimming, overhead sports injuries and their effects on spinal posture for rehabilitation.
• Understand and apply soft tissue treatment methods for the three posture types of Somatic Technique Theory: Red Light, Green Light and Dark Vise.
• Use Strain/Counterstrain, Friction Massage and Postisometric Relaxation as an effective tool for soft tissue damage contributing to postural distortion.
• Apply soft tissue treatment methods, modalities and rehabilitation to Pelvic Crossed Syndrome and Shoulder Crossed Syndrome.
• Apply Yoga for full body and regional postural corrections.
• Understand and explain proper postures for dance, martial arts, running, cycling, baseball, golf, tennis, standing, walking, sitting, computer ergonomics and sleeping.

• Develop and overview of Adult Golf Injury Assessment and Rehab
• Identify the nature of balance and applying balance assessment to golfers
• Review and Understand the concepts of coordination as applied to golf

• Identify which trunk muscles are used in the golf swing
• Review the Chiropractic influence on the golf swing
• Construct practical swing suggestions for golf patients
• Discuss fundamental conditioning concepts
• Prepare physical conditioning to improve club speed

• Differentiate the basic fundamentals of the golf swing and ball flight
• Understand the epidemiology of golf injuries in both professionals and amateurs
• Discuss the factors that influence injury formation and prevention
• Learn the shoulder muscles involved in the various phases of the golf swing and apply this knowledge to examination and rehabilitation
• Learn about the relationship between back pain and elite golf mechanics
• Determine the spinal and metabolic loading characteristics associated with golf

• Illustrate basic principles of cardiorespiratory exercise
• Outline health screening and physical fitness testing
• Create cardiorespiratory and strength training exercise prescriptions

• Investigate the anatomical structures strained during the Ober and Modified Ober tests for iliotibial band concerns
• Evaluate the utility of screening tests for predicting injury risk in athletes
• Describe the biomechanics associated with the extensor carpi ulnaris and recognize the variety of pathologies that can affect this structure
• Summarize recommendations for the assessment, diagnosis and management of Femoroacetabular Impingement (FAI)
• Assess whether expert and novice Functional Movement Screen raters can report the same scores

• Describe the profile of suicide in the US, noting psychosocial and cultural factors that effect risk
• Identify 3 common precipitating events for suicide attempts
• Describe risk factors for suicide including co-existing psychiatric disorders
• Name the most frequent co-existing psychiatric disorders
• Use the sad person scale to assess suicide risk
• Give examples of primary, secondary, and tertiary interventions
• Describe basic level interventions that take place in the hospital or community
• Identify key elements of suicide precautions and environmental safety factors in the hospital
• Describe the problem on non-suicidal self-injury
• Explain the range of self-protective behavioral responses
• Discuss 3 myths about suicidal behaviors
• Identify 2 cultural or social factors that relate to suicide
• Examine 4 categories of motivation for attempting suicide
• Explain how suicide affects family members and friends
• Describe 3 theories that attempt to explain the causes of suicide
• Discuss the occurrence of suicide throughout each life cycle
• Outline the process for assessing the suicidal potential of a client
• Choose 3 therapeutic goals and interventions for clients with suicidal behaviors
• Indicate the manifestations of military sexual trauma
• Cite the rate of disability amongst living veterans
• Describe the incidence and distribution of mental illness in the veteran population
• Define PTSD
• Recognize the DSM-5 criteria for the diagnosis of PTSD
• Explain the risk factors to developing PTSD
• Summarize the association between PTSD and Chronic Pain
• Describe the Primary Care PTSD Screen (PC-PTSD)
• Recognize the effects of PTSD on the family of sufferers
• Summarize the psychological and pharmacological treatment for PTSD
• Define depression
• List the DMS-5 Criteria for depression
• Recognize the signs and symptoms of depression
• Define survivor guilt
• Explain suicide prevention and the VA Risk Assessment Guide
• Outline the use of the SAD PERSONS instrument
• List the risk factors to suicidal behavior
• Outline the Long and short term goals in suicide prevention, interventions and their rationale
• Define the characteristics of hopelessness
• List the outcome criteria for intervention for patients with hopelessness
• Explain the factors related to ineffective coping mechanisms
• List long and short term goals of the management of ineffective coping mechanisms
• Describe interventions and their rationale for the patient with ineffective coping
• Identify medications used to treat anxiety
• Recognize medications used to treat psychotic diseases
• Identify principal signs of depression and drugs used as treatment
• Recognize agents used as antimanics and medications for bipolar disorder
• Describe behavioral disorders found in adults and children and drugs indicated in treatment
• Explain the role of medications in treating Alzheimer’s disease
• Provide patient education for compliance with medications used to treat conditions and diseases of mental health and behavioral disorders

• Determine the epidemiology, etiology and background on obesity
• Assess the theories of obesity development and pathophysiology
• Outline the risks and morbidities related to obesity

• Outline the management of obesity
• Summarize the assessment of obesity for the busy clinician
• Synthesize the literature on the dietary management of obesity
• Discuss the role of exercise and physical fitness in the management of obesity and overweight

• Outline the principles of body composition assessment
• Review the anthropometic measures of body composition
• Discuss the circumference measurements of body composition
• Assess the laboratory and field assessments of body composition

• Outline the definition and components of health and wellness
• Review the dimensions of wellness
• Discuss various models of health and the need for wellness lifestyles
• Outline the publication and goals of Healthy People

• This contains all courses with the educational objectives listed in Xray 119, and, Xray 123 through 127

• This contains all courses with the educational objectives listed from Xray 124 through 146

• This contains all courses with the educational objectives listed from Xray 129 to Xray 134

• Assess cervical radiographs to identify the radiographic signs of lower cervical spine trauma, recognizing which views are most diagnostic.
• Recognize, differentiate, and classify cervical hyperflexion and hyperextension injuries with respect to spinal stability.
• Identify and describe the imaging findings of neural arch trauma in the lower cervical spine.
• Discuss and categorize the complications of lower cervical spine trauma.
• Summarize the gravity as well as the evolving imaging and management protocols of penetrating neck injury.

• Identify plain film features of abdominal pathology that may present in the Chiropractic office, with an emphasis on calcifications
• Differentiate cystic from solid mass lesions
• Classify vascular calcifications
• Recognize when calcifications need immediate medical referral

• Summarize the radiographic findings of simple compression fractures and discuss how spinal biomechanics predispose to their occurrence.
• Describe the radiographic signs and sequelae of burst fractures and differentiate them from simple compression fractures.
• Identify the imaging findings of Chance type fractures and discuss their most common complications.
• Recognize the common radiographic manifestations of posterior arch trauma.
• Categorize the different types of intervertebral disc lesions and summarize their imaging findings.

• Identify imaging modalities used in sports and musculoskeletal imaging
• List indications for advanced imaging in the athlete
• Explain why imaging of the weekend “athlete” could save your practice
• Integrate imaging into treatment plans
• Assess progress of care with imaging

• Examine common orthopedic hardware on plain film and what needs to be reported
• Explain Xray findings which require Orthopedic referral and the various options
• Determine when advanced imaging is appropriate and what modality to use
• Discuss possible complications when finding orthopedic hardware

• Discuss congestive heart failure: diagnosis, imaging, and treatment
• Understand the imaging and treatment of multiple myeloma
• Understand the nature of chronic obstructive pulmonary disease, specifically emphysema
• Evaluate the use of DXA in the diagnosis of osteoporosis
• Determining appropriate care for patients with osteoarthritis

• Determining common geriatric conditions that need special consideration in a patient assessment
• Identifying diabetic foot complications, specifically Charcot's foot
• Analyzing bone metastasis in the elderly, specifically carcinomas
• Understanding thoracic and abdominal aorta aneurysms and aorta dissections
• Explaining pneumonia, specifically community acquired pneumonia, from a clinical perspective

• Determining the risk factors, diagnostic imaging and pathophysiology of atherosclerosis
• Assessing patient risk for developing hip fractures
• Understanding prevention and diagnosis of lung cancer
• Identifying normal anatomy of the disc and what goes wrong in degenerative disc disease
• Reviewing common orthopedic hardware found in elderly patients

• Outline the utility of bone scintigraphy in the pediatric population
• Summarize basic bone physiology & radiopharmaceutical dosing
• Discuss image acquisition and analyze scans for signs of pathology
• Identify common clinical indications for pediatric bone scintigraphy
• Recognize the various imaging phases of bone scintigraphy and their clinical utility

• Review the pathophysiology of spondylolisthesis
• Evaluate the two classifications of spondylolisthesis
• Classify transitional segments
• Determine necessity and efficacy of imaging of spondylolisthesis and transitional segments