The Neuroplasticity Timeline

Dr. Ryan Cedermark RN, BSN, FNP-C, DC. DACNB

The work we do as practitioners on a daily basis depends on the plasticity of the brain and nervous system. Interestingly enough, neuroplasticity was not an accepted concept in medical schools as late as the 1970s. The brain was thought of as a "fixed" structure with specific locations having specific jobs. If damage occurred to a certain area, all hope was lost. We know now that brain structures and function can recover and even excel in certain areas after injury. Understanding the history of neuroplasticity, where we are today and the future of neuroplasticity can help guide our clinical decision making process and help our patients better understand how to help their own brain's heal. Building a stronger foundation of the history of neuroplasticity can also help the individual practitioner have a better understanding of how we can continue to make progress in the field of neurorehabilitation.

Physical/Mental/Emotional components of Neuroplasticity

Dr. Michael Longyear DC, DACNB, CCSP

We will talk about the neuroplasticity involved with positive and negative thoughts, positive and negative movements, and positive and negative emotions.  Depression, anxiety, poor posture, and even pain can be examples of long-term potentiation and neuroplastic change.
Learners will:

1. Understand that neuroplasticity can be used for evil.

2. Understand that negative things we tell ourselves or tell our patients can create neuroplastic change in the limbic brain

3. Learn how to use neuroplasticity for good in our patients and their thought processes in the office and about their health.

Review of the Brain-based Chiropractic Neuroplasticity Research

Stephanie G.B. Sullivan, D.C., Ph.D.
This research talk will provide a foundational discussion regarding the neuroscience assessment technologies being employed in the chiropractic neuroscience research field and review the present state of brain-based chiropractic neuroplasticity research, highlighting key articles. This research presentation will provide the audience with the tools needed to understand the strengths and limitations of the technology being utilized in the chiropractic neuroscience research field. The review of the literature and discussion of key articles will provide the listener with information that they can share with their patients and leverage as they develop interventions unique to their patients.

The Neuroanatomy of Cognitive Neuroscience

Dr. Robert Melillo DC, PhD (C) DABCN, FACFN, FABCDD
The Role of Broadman Areas if the brain in specific functions, pathologies and treatment . The Neuro anatomy of Cognitive Neuroscience. The Neuro anatomy of the brain will be reviewed in detail and related to specific pathological conduction and specific, localized treatment procedures and functional measurements. Key areas of review includeL Neuroanatomy of the brain; Details of how each part of the brain correlates to networks; Details of how the pathways of the brain conduct; Details of how specific treatments affect specific areas of the brain and their networks; and How to measure functional measurements of how each of these area of the brain is working.

Rezzimax - NEW Updates + Clinical Applications

Sharik Peck PT, MRC, CEAS
Join our Lunch & Learn to see practical clinical applications utilizing this amazing technology. Those attending have an opportunity to win a complimentary gift!

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Neuroplastic Restructuring via Cranial Nerve Pathways

Dr. Rachel Klein DC, ND, FIBFN CND
This presentation reviews cranial nerve functions & pathways, and enhances students understanding of assessment and treatment modalities. Using the cranial nerves as an access point to the brain, the presentation will examine how to achieve restructuring and strengthening of connections to improve patient function and outcomes. This presentation will discuss specific exercises and therapeutics that can be used to achieve functional improvements and lasting neuroplasticity in the brain. Key aspects of the presentation will include: Anatomy of the cranial nerves Pathways/connections of the cranial nerves Cranial nerve assessment and broader assessment applications Therapeutic modalities to enhance function Restructuring pathways for lasting effects

Dynamic Healing – Addressing the Root Cause of Chronic Disease

Dr. David  Hanscom, MD – Orthopedic Spine Surgeon, Author
There are three aspects of your body keeping you alive : Processing your circumstances (Input) The reactivity of your nervous system (calm or hypervigilant) Your neurochemical profile (output). Your sense of well-being and health depends on the profile of your physiology. The desired state is to be mainly in neutral (homeostasis) or safe (regenerative). It is necessary to be in threat (fight or flight) but when it is sustained you will develop chronic illnesses/ diseases. There are tools that affect each of these factors that allow you to control your physiological profile and optimize your health. Unpleasant mental and physical symptoms (outputs) are created by your body when stressors (input) overwhelm your coping capacity (nervous system). We'll look at this interaction but modern medicine is mainly treating symptoms instead of addressing the root causes. Key Presentation Points: Point out that there is no separation of mind and body. It is an obsolete term. Your body's neurochemical state is a function of being exposed to threat vs feeling safe The essence of chronic disease is prolonged exposure to threat and the solution lies in learning ways to be safe. To prevent and solve chronic disease, it is necessary to know your patient and his or her circumstances. This takes TIME. We need to move a wellness model of care, which requires markedly increasing the reimbursement for time to talk to patients. The current illness model is damaging and hurting our society. The tragedy is that the literature has provided the clues to success but we are ignoring them. The principles of the solution will be presented and the energy will have to come from the patients and clinicians.

Neuroplastic Effects of Eye Movement/Vision

Dr. DeAnn Fitzgerald O.D.
Participants will understand structure vs. functional vision aspects: spatial & focal visual processing and their impact on normal function including posture, balance, gait, and cognition. Participants will be able to recognize and assess common visual deficits of acquired brain injury seen after a neurological injury such as: Post Trauma Vision Syndrome (PTVS) and Visual Midline Shift Syndrome/(VMSS) and understand their impact on visual performance as well as posture, balance, gait, and cognition. Key Presentation Points: Participants will be able to incorporate treatment strategies to treat Post Trauma Vision Syndrome Identify and treat Visual Midline Shift Syndrome in individuals with neurological dysfunction Learn how to incorporate movement and balance strategies into practice

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Findings from the Cognitive Neuroscience Laboratory Applied in Clinical Practice

Gerry Leisman MB, PhD

• Understand the nature of neural connectivities in small and large world networks
• Understand and apply Gestalt principles
• Understand and apply principles of neural feedback systems
• Understand and apply the Biofield hypothesis
• Understand and apply knowledge of collateral pathways

The influence of the Immune and Hematopoietic systems on Neuroplasticity

Dr. David Harshfield MD
Structural findings of Neuroplasticity are often beyond the resolution of current imaging technology. Although consequences of trauma, infection and infarction can easily be seen on cross sectional imaging, the pathoanatomy of autism or schizophrenia, for instance, appears no different than normal brain tissue. Thus, our current understanding of central nervous system development and homeostasis is often based on indirect evidence. So, we monitor and measure CNS changes and function based on CSF, blood work, EEG, EMG, as well as physical and cognitive testing. It has become apparent that the immune and nervous systems are inseparable, and the hematopoetic system provides the conduit for easily measurable constituents- such as the cells, proteins, metabolites and other blood borne entities that can predict facilitation or inhibition of neuroplasticity.This presentation will outline current capabilities and limitations of detecting, monitoring and documenting and better understanding Neuroplasticity. Key Presentation Points: Imaging Laboratory testing Electrical assessment Physical Exam findings Cognitive testing capabilities Potential regenerative therapies Potential cellular therapies

Neuro-Optometry: A guideline for effective collaboration and co-management

Dr. Paul Rollette OD, FCOVD
In this presentation, Dr. Rollett will outline high specificity tools for determining whether Neuro-Optometric services may benefit your patients and optimize outcomes. The use of optical devices (tints, prism and lens adjustments) and training considerations will be demonstrated for the purpose of priming the visual system for neuroplasticity and recovery. This presentation will include: Simple, high usability screening tools for determining whether Neuro-Optometric referral is prudent Accessible presentation on how effective use of optical tools can work in conjunction with allied professional work. Brief understanding of how a Neuro-Optometrist objectively evaluates and monitors the visual system, thus determining effectivity of treatment.

Irlen Spectral Filters Allow for Positive Plastic Brain Change

Jeri LaVigne Ed.D., Ph.D.

• Explanation of Irlen Syndrome
• Brian deficits affected by the inability to process light
• Areas of brain connectivity improved by Irlen Spectral Filters
• Populations affected
• Cornell research on Irlen and Neuroplasticity

The role of inflammatory vascular markers and their role on Neuroplasticity

Dr. Brandon Brock DNP, DC, APRN, NP-C, RN, DACNB

Lipoprotein-associated Phospholipase A2 was found to be a vascular incident predictor, post-event prognostic measurement tool, and probability marker of subsequent events with or without pathology noted in other lipid studies. Based on Dr. Brock’s recent PhD dissertation, without energy (from any vascular inflammatory based ischemia), ultimately no therapy or clinical interventions will be efficient, nor effective.

Conclusions: This literature review concluded that Lipoprotein-Associated Phospholipase A2 is an efficacious diagnostic inflammatory marker for vascular conditions.

Clinical Relevance: Lipoprotein-Associated Phospholipase A2 should be a standard addition to vascular evaluations along with a standard lipid panel and other vascular markers. Determining the differences and meaning of Lipoprotein-Associated Phospholipase A2 mass and activity will require future studies.

Introduction: From Development to Degeneration: Understanding Gaps and Delays in Neuroplasticity

Heidi Haavik PhD, PG Dip(science), BSc (chiro), BSc(science)
Dr. Monika Buerger, BA, DC
This will be a dual presentation with Dr. Heidi Haavik and Dr. Monika Buerger. They will cover how stress will affect developmental neuroplasticity and neurodegeneration of the brain. From prenatal stress and maladaptive neuroplastic development to the aging brain, they will present the latest research on how stress affects the brain and how it is considered the developmental origins of disease. General neuronutritional considerations to support proper brain function and development will also be presented. Drs. Haavik and Buerger will present the latest research in the realm of neuroplasticity from a multi-dimensional perspective. Bringing in the current science from multiple fields such as neuroscience, neurodevelopment, neuropsychiatry and the neurobiology of disease. Clinical take home pearls related to recognizing maladaptive neuroplastic developmental patterns as well as the degenerating brain and general nutritional considerations to optimize healthy brain adaptability will be given. Hour 1: The Neuroplastic Model: Progress in Neuroscience In this hour Dr. Haavik will present an amazing overview of the most current chiropractic neuroscience. She will also review the “three pillars” of an Evidence Based Practice model and what it looks like in a practical setting. She will also cover how spinal function fits into the neuroplastic model. Hour 2: How does the brain know what is going on: Interoception, Exteroception and Inner Body Schema Dr. Haavik will present how the brain perceives and interprets the internal and external world. Dr. Buerger will present common signs/symptoms and characteristics of the interoceptive and exteroceptive systems and how they may present in practice members. Hour 3: Understanding the Cerebellum-Prefrontal Cortex Connection (Buerger) Dr. Buerger will present the “dual system” of protracted neurodevelopment between the cerebellum and the prefrontal cortex and the affects of maladaptive neuroplasticity within this system. The Neurobiology of Stress; the cause of spinal dysfunction and chronic disease (Haavik) Dr. Haavik will present the current evidence on the neurobiology of stress and how it relates to spinal dysfunction and overall health and wellness. Hour 4: From Neurodevelopment to Neurodegeneration: Prenatal Stress & The Neurobiology of Dis-Ease Dr. Buerger will present how prenatal stress is considered the neurobiology of dis-ease and is the basis of spinal dysfunction. In addition to chiropractic care, she will also give practical tips on specific nutritional considerations, exercise, mindfulness, parental bonding and more in order to minimize the long-term effects of stress on the offspring that are associated with disease and neurodegenerative changes later in life.

NeuroSolution - Practical Clinical Applications

Dr. Brandon Crawford DC FIBFN-CND
Learn from one of the founders how to utilize laser technology for incredible clinical impact.

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The 'Other' CPR: Core, Pupils, Reflexes

Dr. Drew Rubin BS, DC, CCSP, DACCP

1. Current state of 'disconnect' seen in kids (Dr Rubin has been practicing for 31 years)
2. Why assess Core, Pupils (the neurology of the eyes), & Primitive Reflexes?
3. How to assess the child's core, eyes, and reflexes, depending upon age and ability - case example live - workup, what significant observations and exam findings show.
4. What exercises and Interactive Metronome settings to recommend to 'reconnect', depending upon age and ability. Given to this child and parent in the demonstration with explanation for people watching. 
5. Who is the ideal population to work with the 'other' CPR's: infants with developmental delays, children with neurodevelopmental disorders, and Adults with Autism, ADHD, and other psychological issues like depression and anxiety.
6. How chiropractic adjustments, functional neurological exercises targeting retained primitive reflexes and eye dystonia, and use of the Interactive Metronome support improvements in neuroplasticity, literally helping re-wire the child's 'disconnected' brain. 

Deflections in a child's typical developmental trajectory

Dr. Amy Spoelstra DC
We will explore how locating and addressing deflections in the typical developmental trajectory is impactful in clinical practice. The provider must learn about the impact that altered input (in the internal and external environment) has on an individual's processing, engagement, and connection with their world throughout life. This knowledge is essential for all kinds of providers working with the pediatric population and the mental health arena. Finding simplicity when working with typical and deflected neurodevelopment is the key to discovering an effective and practical clinical approach to pediatrics and family practice. Using the developmental hierarchies, and learning to observe behavior as a window to the brain, will allow simplified observational data to be obtained by the practitioner. It will also allow for more complete case histories to be taken and improved clinical exam findings in the behavioral, learning, and socialization population. This approach helps guide our selection of clinical and educational tools when creating a multi-disciplinary clinical and lifestyle plan to improve life expression for an individual and their family. We will discuss the development of a clinical "roadmap" to simplify the selection of applicable and appropriate clinical tools to address neuro-deflective patterns created as a result of the altered developmental trajectory. Key Presentation Points: Exploring typical development from birth to integration and processing. Utilizing a hierarchical approach to case history and understanding behavioral, learning and socialization challenges. The timing and impact of stress and stress response during early life and the impacts on a typical developmental trajectory, including alteration in visual cognition. Discussion on deflected processing (and the resultant, routinized maladaptive processing during childhood) and how this may lead to alterations in the way a child learns, connects, and engages with their world, now, and for life. Creating a "whole to part" approach to selecting clinical, lifestyle, mental health, educational, parenting, and support tools based on the stress profile, individual adaptability, and clinical manifested findings. The chiropractor, optometrist, occupational therapist, educator, functional neurologist, and mental health provider can create a collaborative team that is not "deficit-driven" with this approach.

Anoxic Brain Injury - pathogenesis & therapeutic approaches

Dr. Brandon Crawford DC FIBFN-CND
Very little has actually been uncovered in the clinical management for anoxic brain injuries. Prognosis is poor for the vast majority of cases. This lecture is intended to help navigate these extremely difficult cases and help give clinical guidance for those working in this realm. Key Presentation Points: To identify the most common areas of the brain injured in anoxic brain injuries as reported in the literature. To identify how each of these most common variants of injury presents clinically. Identify interdisciplinary approaches that provide co-management capabilities to improve outcomes. Discuss and describe clinical approaches within developmental functional neuroscience that can be utilized to achieve better outcomes. Discuss long term support needs for the brain injured individual. Discuss caregiver mental, emotional, and physical needs. Discuss support needs for the family and loved ones.

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Neural Network disorganization in Scoliosis and the role of long term potentiation

Dr. Marc Lamantia D.C., D.A.C.N.B.

• Motor cortical symmetry is AIS
• Cortico cortico inhibition and brain volume
• Sensory neglect implicate higher cortical network involvement 
• Cortical vestibular abnormalities is AIS
• LTP and LTD in neuropostural rehabilitation

Neuroplasticity of a Domain Based Model of TBI

Dr. Michael Compton DC, MSN, FNP-C, MDs1
A review of a domain based model to the management of TBI. Each domain reviewed will consist of diagnostic tools for assessment, and the development of neurorehabilitation plan. Key Presentation Points: Concussion Domain Management: 1. Cognitive 2. Ocular/Ocular-Motor 3. Post-concussive Headache 4. Vestibular 5. Anxiety/Mood Concussion-Associated Condition Management 1. Neuro-Inflammatory Cascade Management 2. Sleep Disturbance/Fatigue/Sleep Management 3. Cervical Spine Management 4. Neuro-Endocrine Dysfunction 5. Neuro-Immune Dysfunction 6. Brain-Gut Axis Dysfunction 7. Blood-Brain Barrier Pathology

Tinnitus Causes and Recovery via Neuroplastic Solutions

Dr. Jay Hobbs DC, DACNB, CFMP
Know the predisposing factors and the 2 main causes of tinnitus. The mainstream message is missing a very common cause that is simple to address. Learn the simple tests that tell you what solution is most likely to help each patient. Learn the neuroanatomy and neurophysiology that lays the groundwork for your being able to understand and apply additional therapies for individual patients and expand the knowledge base of treatments. The 2 causes of tinnitus both lead to tinnitus through neuroplasticity. Discussion of the "predisposing factors" help understand what may predispose someone to neuroplasticity in a negative way and how altering those may redirect that plasticity in a positive way. This presentation is designed to give UNDERSTANDING and CONFIDENCE in APPLYING the knowledge to patients for all levels of therapists. Key Presentation Points: SOURCE: Musculoskeletal anatomy PATH: Neuronal anatomy PHYSIOLOGY: esp. Relating to Nutrition CAUSE: (Trauma, Toxicity, Thought) EVALUATION: How to elicit Key History & Exam Findings SOLUTION: Corrective Techniques INTEGRATION: Putting it all together into an Action Plan

Cervical Instability mimicking post concussion syndrome

Dr. Ryan Cedermark RN, BSN, FNP-C, DC. DACNB
Case study format of how cervical instability can present similar to post concussion syndrome, how this works, can this impact neuroplasticity, and what your options are. Regardless of whether this is a structural issue at the root and not a neurological issue at it's root it does in fact have the potential to result in neurologic symptoms. If these structures are irritating autonomic nerves in the neck or impeding on carotid flow or venous drainage it can impact your brain an many other neurological structures. Insight into this will equip the practitioner with other possible differentials to take into consideration when analyzing TBI, PCS, post accident whiplash, etc. If this is indeed a primary issue for their patient it can completely change the treatment approach. Key Presentation Points: Cervical Instability Anatomy of the neck What is it Clinical presentation Testing/Possible Referrals Treatment Options

Electrophysiological Imaging and Neurofeedback in Addiction and Associated Behavioral Disorders

Dr. Michael Trayford BS, DC, DACNB, BCN
EEG, qEEG, and sLORETA imaging has become readily accessible to the functional neurology provider; although its integration into clinical practice has proven somewhat elusive. With the host of neurological testing and treatment options available, real-time electrical brain imaging is a tool that has become increasingly necessary for understanding neuroplasticity of the brain to direct more effective clinical outcomes. In this presentation the learner will be guided through a baseline understanding of these procedures, be given the opportunity to review multiple case studies, and learn about neurofeedback and related modalities to augment their current practice offerings and clinical success. Functional brain imaging is a necessary tool in neuroplasticity-centered health care practices, and one that patients are seeking out in providers they entrust their care to. Understanding normative studies and patterns of brainwave dysregulation is an essential element in successfully treating the spectrum of learning and behavioral disorders so many functional neurologists see. ADHD, OCD, PTSD, addictive and compulsive behaviors, TBI, etc. all have well documented patterns of irregularity on electrophysiological imaging; which will be explored in this course. In turn, as with any neurological diagnostics, recognition of these patterns can be used to successfully direct non-invasive treatment options; which will also be explored to elevate the learner's level of knowledge, clinical competence, and practice success. Key Presentation Points: Understanding the basics of EEQ, qEEG, and sLORETA imaging Patterns of aberrant brainwave activity in addictive and associated learning and behavioral disordersNormative database comparisons Case studies with pre/post imaging comparisons and clinical gems Neurofeedback procedures and associated modalities to positively impact neuroplasticity How to get started with electrophysiological imaging and neurofeedback

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Senaptec: Clinical Applications

Dr. DeAnn Fitzgerald O.D.
Join to win a prize! Learn practical clinical applications of this amazing technology.

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Clinical Exam. Setting the stage for creating neuroplastic change and long-term potentiation

Dr. Michael Longyear DC, DACNB, CCSP
Dr. Dominic Fetterly DC

• Phases and Levels of potential lesion
• Differentiating the level of dysfunction and the neurophysiological delineate associated with their complaint.

• Differentiating between metabolic and neurologic
• Make it better or break down 

1. The attendee will understand how to differentiate levels of the potential
2. The attendee will learn how to quickly evaluate a patient using the principles of functional neurology and then educate the patient and earn their trust while doing it, setting you up for a better close.

The Emotional Brain. How the limbic system can hijack the brain

Dr. Cathy Goldstein, AP
Dr. Michael Longyear DC, DACNB, CCSP

• Intro to the limbic brain
• Neuroplasticity can be positive or negative.
• Intro to NET (NeuroEmotional Technique)
• How to look at the subconscious mind 
• Assessment and treatment of a patient in real time using NET and limbic techniques

1. The attendee will gain a better understanding of the limbic brain
2. The attendee will learn how to evaluate and do a basic treatment to improve neurophysiology and create a better environment for creating positive neuroplastic change

HOUR 1: How does the brain develop?

Dr. Michael Hall BS, DC, DABCN, FIACN
The best athletes are known to have amazing footwork in which they can close off the baseline, shut down the lane, keep their balance, and see where the ball / puck is headed or “see” the impact coming. A similar statement can be said for the injured patient that “never saw the car / hit coming”. Having poor peripheral awareness or reaction timing can potentially put a person (perspective patient) in harm’s way. Neuraxial development has key principles associated with medial / lateral, archeo / neo that can be harnessed by practitioners of functional neurology to enhance neuroplastic change in our patients’ clinical outcomes. Hour 1. Dr. Michael Hall (1 hour) How does the brain development? The oldest and more medial structures tend to be more associated with axial tone while newer and more lateral structures are more associated with appendicular tone. Milestone achievements and why Sagittal precedes Coronal Why is the horizon so important?

Hour 2: The Eyes

Dr. Michael Longyear DC, DACNB, CCSP

• Eye Movements
• How do we begin?
• Near and Far vision – the early beginnings
• Vertical vs Horizontal Eye Movements and what it tells us
• Vision testing for the areas of the brain
• Saccades vs Pursuits
• Vertical vs Horizontal 
• Why Horizontal Eye Movements and lateral brain
• Horizontal Eye Movements, Affect and Mental Health
• EMDR: why horizontal Eye Movements
• How to incorporate horizontal movements into treatment strategies

Hour 3: Coronal Plane Movements and Injury risk in athletes

Dr. Jonathan Vestal BS, DC
The best athletes are known to have amazing footwork in which they can close off the baseline, shut down the lane, keep their balance, and see where the ball / puck is headed or “see” the impact coming. A similar statement can be said for the injured patient that “never saw the car / hit coming”. Having poor peripheral awareness or reaction timing can potentially put a person (perspective patient) in harm’s way. Neuraxial development has key principles associated with medial / lateral, archeo / neo that can be harnessed by practitioners of functional neurology to enhance neuroplastic change in our patients’ clinical outcomes. Hour 3. Dr Jonathan Vestal Coronal Plane Movements and Injury risk in athletes Where does neck strength play a role in health? What is the value of the cervical lordosis? Understanding low axial tone and hyperreflexia / hypertonicity Truncal Dystaxia / Appendicular Dystaxia Neuroplastic strategies in injury prevention Coronal activation for Upper Limb / Lower Limb syndromes / disorders

How Light, Sound and Vibration improve Brain Health

Dr. Patrick Porter PhD
Learn how the science of light, sound and vibration are being used in clinics around the world to improve sleep. You will learn how the science behind brain function and sleep and why depth of sleep is more important that time in bed. Dr. Porter will go over the research from his sleep studies with the Dementia Study, Australian third Shift Workers, the NCAA Northeastern Women's Hockey Team as well as the Olympic Concussion Study. This presentation will share the clinical techniques used to produce a 49% neuroplastic change in the dementia study. WAVi scans will be utilized to show the frontal lobe changes quickly improving Alpha activity in athletes after treatment. Key Presentation Points: Photobiomodulation and the brain health Why level 4 sleep is the silver bullet to remove toxins in the brain. Learn about the epigenetics and how light, sound and vibration trigger them. Discover the specific sounds that have a positive effect on brain health. Frequency and duration are key to the healing cycle.

Practical Clinical Applications for Enhancement of (Brain-Body) Neuroplasticity.

Robert G. Silverman, DC, DACBN, DCBCN, MS, CCN, CNS, CSCS, CIISN, CKTP, CES, HKC, FAKTR
This presentation reviews mechanisms of neuroregeneration and provides clinical tools for protecting and enhancing neuroplasticity in patients who are at risk for neurodegeneration. Rising rates of Alzheimer's disease (AD) and a growing awareness of the long-term repercussions of traumatic brain injuries (TBI) make a thorough knowledge of neuroplasticity vital for the chiropractic neurologist. Neuroplasticity describes adaptive changes in the brain’s neural network related to the nervous system's function and structure. It is now accepted that neurogenesis occurs in adult humans. The process is dependent on membrane depolarization of the neuron, stimulus-induced synaptic activity, and subsequent changes in dendritic morphology. By implementing proper diet, supplementation, and mental and physical activity, and by reducing inflammation, oxidative stress, and toxins, it is possible to generate nervous system tissue proteins and thereby recover cognitive functions in individuals who have experienced neurological trauma or degeneration. The function can be recovered, and neurodegeneration can be slowed in damage from epileptic seizures, Parkinson's disease, stroke, AD, and TBI. Addressing the gut-brain axis and modulating the hypothalamic-pituitary-adrenal axis are often overlooked yet vital steps toward brain health. Through cross-discipline studies, researchers are uncovering ways to strengthen, enhance, and protect neurogenesis processes. Certain lifestyle adaptations may prevent the common neurodegeneration seen in aging. This seminar will review known neurodegeneration and neurogenesis mechanisms, environmental factors that influence these processes, and clinical approaches to maintain and enhance brain-body neuroplasticity. This presentation reviews mechanisms of neuroregeneration and provides clinical tools for protecting and enhancing neuroplasticity in patients who are at risk for neurodegeneration. Key Presentation Points: Recognize that neuroplasticity plays a fluctuating but important role in health and trauma. Identify patients at risk for neurodegeneration and get them on a neuroplasticity program as early as possible. Understand the effect of bacterial toxins originating in the gut on the gut-brain axis as key to neurological disorders' pathogenesis. Expertly assess intestinal and blood-brain barrier dysfunction for better management of chronic neurological disorders. Highlight the mechanisms of action and effects of natural compounds known to affect neuroplasticity positively. Integrate optimal lifestyle adaptations in diet, exercise, and supplement protocols to enhance neuroplasticity and improve quality of life.

Telehealth Assessment of Patient Neuroplasticity during the Pandemic

Dr. David Rosenthal,  AS, BA, MSc, DC, FICPA, FIBFN-CND
The last year has forced the functional neurology community into a new realm of diagnosis and treatment. Visits to providers has been severely limited, patients have not received the necessary medical care they need and immune systems have been severely compromised. This educational program will provide the functional neurology provider with essential tools to improve diagnosis and treatment in the emerging online health world. This is the first time for many providers not to have direct physical contact with their patients. It is therefore imperative that providers have effective systems to evaluate neuroplasticty from a distance. This lecture will provide novel applications to help providers assess the neurological systems that are typically tested live in the provider's clinic. Key Presentation Points: Telehealth intake and history keys Neurocognitive assessment Neurological assessment with patient pictures and videos Cortex, cerebellum, brainstem, PNS, ANS, and movement disorder tools Vision, balance, and coordination assessment tools Treatment, management and follow up in Telehealth Novel online assessment tools to improve objective assessments of neuroplasticity: Validated online neurocognitive testing Telehealth pupillometry Telehealth sensory motor testing and treatment Functional rehabilitation online

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Vibrational Resonant Frequency Activation of the Vagus Nerve

Sharik Peck PT, MRC, CEAS
The parasympathetic powerhouse, the vagus nerve (CN X), is key to autonomic tone and functioning of the central nervous system. Improving vagal tone, is a priority for nearly every functional neurology approach and is key for neuroplasticity. Join Sharik as we look at the vagus anatomy, physiology, and function and understand the unique role vibration can play in enhancing vagal tone through resonant frequencies. We will compare electrical stimulation, whole tones, tuning forks, and varied vibration devices to assist the functional neurologist in practice. Key Presentation Points (5-7 content categories): Vagus nerve structure and function and the vibration connection Reciprocal interactions of the trigeminal, facial, and vagus systems and brain activation pathways Effect of various resonant therapies on vagus nerve function and vagal tone Measuring the effectiveness of therapies aimed at enhancing vagus tone in the clinic Clinical and home therapy best practices for vagus nerve entrainment

Exertools - Learn How To Effectively Set Up Rehabilitation

Dr. David Rosenthal,  AS, BA, MSc, DC, FICPA, FIBFN-CND
Cost effective rehabilitation tools and strategies will be featured.

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Case Presentation by Fellows

Dr. Gianna Norini DC, CD(DONA), HBCE

• Review of content, details, and format for clinical case studies
• Understand variances in clinical presentations and how to report in clinical case work
• Understand clinical decision making in regards to treatment options an prioritization of care plans
• Understand why certain factors create variances in treatment plan timelines
• Understand variances from low tech to high tech treatment plan options

Body, breath, and stress: the bioplasticity and neuroplasticity of the airway

Seth Oberst PT, DPT, SCS, CSCS
Humans take, on average, 25,000 breaths per day. It is the first and last movement we do in life and it has a profound influence on the structure and function of our bodies and our brains. Nearly as ubiquitous as breathing in the modern era, stress influences literally every cell in the body and is contributing to a high number of clinical presentations we see. As healthcare practitioners focused on restoring the health and function of our patients, it is imperative that we understand the fundamental connection between the airway, breathing, and stress. A person will do anything to maintain an open airway to keep breathing, particularly under stress, often with deleterious consequences to the health of the brain and body tissues. In this presentation, we will discover how the brain coordinates neuromotor postural patterns in relation to the airway and how it manages the fluids and pressures altered during the act of breathing. We will discuss how bioplastic changes occur in the structure of the body as a result of breathing patterns, especially as a result of stress. The perception of threat by the nervous system, manifesting as stress, has a bidirectional relationship with how a person breathes and we will elaborate connections between numerous systems of the body and how neuroplastic change occurs with stressed breathing. We will then discuss key clinical factors to help attendees recognize a stressed airway and breathing dysfunction using real-world case examples. And finally, we will discuss fundamental steps to restore the airway using principles of neuroplasticity and bioplasticity to help patients achieve improved health outcomes. Neuroplasticity is an inherent neuroimmune property of the nervous system and nowhere is it more important than in the way we use our brains and bodies to breathe. Many assume that it doesn’t matter how we breathe, just as long as we do it. But a compelling amount of data shows this not to be true, particularly when stressed. As one example, when stressed, the person will go into state of hyperventilation or over-breathing. This creates changes in the internal fluid dynamics in the GI system as a result of the diaphragm pressing down into the abdomen with each breath. This increases the demand on the brain to coordinate the body moving through space and in this high stress state, it has been shown that neurotransmitter release (particularly that of norepinephrine and dopamine) will serve to capture this pattern, causing neuroplastic changes. A few other examples of clinical tools and practical knowledge presented in this talk will be: The influence of the tongue, lips, and jaw on neurological function, stress, and sleep; how to recognize issues in this area, and how to begin addressing them The differences in health outcomes in those who nasal-breathe versus mouth-breathe, the clinical signs that differentiate them, and practical tools to address issues with mouth-breathing Practical information on a new approach to addressing posture with patients, based on what we know about the airway How to use the principles of neuroplasticity in working with breathing dysfunction, emphasis placed on the coordination of breathing in unstressed vs stressed patterns.

Brain games apps - at-home brain workout of the future.

Dr. Omer Hirsch BMS, DC, FIBFN-CND
Brain games apps are abundant. Some are very sophisticated, others very simple. Some have lots of options and versatility, others very rigid. All of these, however, have the capacity to provide at-home brain stimulation when appropriately used. In this presentation we will briefly present the concept of digital medicine, brain imbalance, and several key functions that are easily activated using brain games apps. We will discuss several existing apps and how they can be used in a functional neurology paradigm, as well as present eMazeBrain, a new and upcoming app that is designed to work within the functional neurology and brain imbalance paradigm. The tools discussed in this presentation can be put into use in your practice on Monday morning, and serve to increase compliance, speed up results and improve patient outcomes. Key Presentation Points: What is digital medicine? How do digital factors fit into the brain lateralization and imbalance clinical paradigm? Presentation of existing brain games apps Review of existing literature regarding the efficacy of brain games. Discussion of various ways brain games can be used in the office and at home. Presentation of eMazeBrain, a new app that provides a platform for clinicians and patients as a complimentary tool for therapy within the functional neurology paradigm. A look to the future and where brain games can go within the digital medicine arena.

The Migraine Brain Approach with Neuroplasticity

Dr. Diana Taylor DC, DACNB
The aim of this presentation includes understanding the pathophysiology of a migraine involving cortical spreading depression and sensitization of the trigeminovascular system, to appreciate how metabolic, and structural considerations and genetic predisposition to generalized neuronal hyperexcitability contributes to migraine frequency and episodes. and to understand the areas of the brain involved during symptomology of a migraine to allow for a localization of the lesion in treatment.Together we will identify common migraine treatment options such as Triptans and Aimovig, learn non-medicinal methods of treatment of migraine headaches consisting of low-level laser therapy, vagus nerve stimulation and hyperbaric oxygen therapy. A migraine is a recurring headache disorder affecting 15% of individuals between the ages of 22 and 55 years and is the sixth most disabling disorder in the world. It is a brain-based phenomenon that can benefit from neuroplasticity integration as it is viewed as a complex neurological disorder that affects multiple cortical, subcortical, and brainstem areas that regulate autonomic, affective, cognitive, and sensory functions. It is considered a primary dysregulation of sensory processing likely to result in a collection of neurological symptoms that affect our senses and is considered a brain state of altered excitability in the diencephalon, brainstem and trigeminovascular pathways. Key Presentation Points: Pathophysiology of the migraine Neuroimaging differences among migraine sufferers Metabolic considerations of the migraine (Microbiome, Hormones, Food intolerance, Neurogenic Inflammation) Structural considerations of the migraine (TMJ, Gut, Meninges) Non-invasive Vagus Nerve Stimulation (VNS) for migraines/vestibular migraines Hyperbaric Oxygen Therapy (HBOT) treatment of the migraine Application of Photobiomodulation (Low Level Laser Therapy) for the migraine

Activation of Neural Pathways that Drive Rehab and Performance

Dr. David Boynton DC, FIBFN-FN
This presentation will highlight various neural activation strategies used to drive neuroplasticity for concussion rehabilitation and performance gains in athletes. Pathways and connections of the cerebellum will be highlighted, as we outline the use of vision, balance and head movements to drive neuroplasticity. Clinical tools used will include SyncThink eye tracking, and Binovi. Low tech assessment gems will be provided via case discussions. Key Presentation Points: Cerebellar pathways that leverage activation Assessing concussion using Eye Tracking Using the eyes to drive neuroplasticity Stacking cerebellar inputs Binovi in Action

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Low Tech Functional Neurology Rehabilitation Applications for Pediatric and Adult Patients

Dr. Alex Nelson DC, CCWP, FIBFN-FN, FIBFN-CND and Dr. Lauren Nelson, BS, DC, IMC
This presentation will show brain and nervous system based exercises that are mostly low-tech and cost effective. Certain equipment and products will be shown however not endorsed. Real-life patient examples along with demonstrations of how to do certain exercises. Exercises for each major region of the brain will be reviewed that can be put into a practitioners "arsenal" that can be used with their patients. The presentation will focus on the fact that your patient will have already been diagnosed with a functional neurological lesion and must be addressed by providing sensory or motor input. This presentation will show what can be done to help normalize your clinical findings.

Neurorehabilitation and rTMS

Dr. Scharlene Gaudet DC, MSC, DACNB, CCN
Case studies involving neurorehabilitation for TBI with the addition of rTMS. Neurorehabilitation is designed to promote neuroplasticity. By adding rTMS to the Neuro-rehab program we see greater results in the reduction of depression, while seeing improvements in sleep, cognitive processing, and executive function. Key Presentation Points: rTMS enhanced cognitive performance rTMS enhanced memory rTMS enhanced executive function Shorter rTMS protocols allow for additional cognitive therapies

Exercise and learning: the role of exercise and movement on creating neural connections

Jenn Pilotti B.S., M.S., A.T.
The ability to learn is beneficial for brain health. Not only does lifelong learning reduce the risk of dementia, it plays a role in mental health and well being, specifically in reducing symptoms related to depression. Understanding how exercise and movement play a role in neuroplasticity can assist the clinician in knowing why and when to recommend different types of exercise as part of a holistic treatment program. Key Presentation Points: What BDNF is and the role it plays in learning Why BDNF matters for long term brain health and the role it plays in mental health and well-being The value of cardiovascular exercise for brain health and the role it plays in enhancing BDNF release How to use movement games and coordinations as a way to facilitate neuroplasticity throughout the lifespan The value of exploring movement and exercise as a skill and why establishing a mind/body connection can improve brain health FOCUS: How different types of exercise interventions affect mental health and neuroplasticity. I will be discussing the impact of cardiovascular exercise on BDNF, the role of resistance training on resilience, and why learning new movement skills throughout the lifespan is important for cognitive function. In this 60 minute session, I will give an overview of the research supporting BDNF and its role in learning. We will discuss why cardiovascular exercise matters, how lack of BDNF expression is related to mental health, and how movement games and coordinations can be used to facilitate neuroplasticity. We will also explore the idea of movement and exercise as a skill and why enhancing the connection between the mind and the body matters for brain health throughout the lifespan.