Texas Chiropractic Continuing Education

• Explain how needle manipulation works on a physiological basis and extrapolate as to when to apply these techniques
• Summarize some of the more relevant literature surrounding the use of one of the most commonly used acupuncture points: Stomach 36
• Describe the physiology of tongue color, shape, coating and spirit (movement)
• Compare clinical examples of tongue appearance and identify key components of the tongue exam
• Interpret the meaning of clinical findings during the tongue exam and correlate them to physiology

• Explain how needle manipulation works on a physiological basis and extrapolate as to when to apply these techniques
• Summarize some of the more relevant literature surrounding the use of one of the most commonly used acupuncture points: Stomach 36
• Describe the physiology of tongue color, shape, coating and spirit (movement)
• Compare clinical examples of tongue appearance and identify key components of the tongue exam
• Interpret the meaning of clinical findings during the tongue exam and correlate them to physiolog

• Identify the 3 types of acupuncture points and identify what a homeostatic point is
• Describe the phases (latent, passive and active) of acupuncture points
• Illustrate the anatomical characteristics that make up all acupuncture points
• Outline the location of 25 commonly used homeostatic acupuncture points
• Differentiate discrete anatomical characteristics that make up homeostatic acupuncture points
• Explain the common indications and cautions for use of the homeostatic acupuncture points
• Review the neuroanatomy of spinal nerves and explain how it relates to paravertebral (Bladder Shu) points
• Discuss and demonstrate needling technique for the homeostatic acupuncture points
• Demonstrate point location on live models

• Describe and summarize the mechanisms by which acupuncture exerts effect on pain modulation and musculoskeletal function
• Describe joint and muscle mechanoreceptor anatomy and physiology and how they relate to acupuncture
• Define and discuss the ascending and descending neurological pathways affected by acupuncture
• Outline the importance of cortical representation and the sensory/motor homunculus and relate them to acupuncture points with examples
• Demonstrate the importance of the cerebellum and its role in acupuncture treatment of musculoskeletal disorders

• Identify the layers of integument that you are piercing while doing acupuncture
• Compare and contrast the physiological consequences of superficial, medium and deep needling
• Differentiate which depth of needling is appropriate for the desired effect
• Describe the neurological pathways involved with acupuncture needling
• Explain the significance of needle retention time

• Identify common acupuncture point classification groups
• Compare the use of different point categories in clinical practice
• Describe the point location for points within commonly used groups
• Explain the local anatomy and neurology involved with key points
• Outline indications for use of some points and point categories

• Describe the history of the San Jiao
• Associate the San Jiao to Vagal Nerve function
• Breakdown each of the 3 “burners” into their component parts
• Review the salient points on the San Jiao Meridian
• Summarize the function and indications of the Shu Points and apply that to the San Jiao channel

• Examine the origin of the Qi symbol
• Define Qi Identify and describe the types of Qi
• Explain Qi as it relates to triple warmer metabolism
• Describe and compare the types of Qi pathology
• Review the pertinent points on the Pericardium channel
• Explain how the neurological development of the brachial plexus relates to the pericardium meridian function
• Demonstrate the local anatomy of the pericardium channel in the upper extremity

• Describe the origins of the 8 extra vessels and review Chinese embryology
• Review the locations and functions associated with each of the 8 extra vessels and extraordinary meridians
• Discuss the meaning of moving Qi between the kidneys, Ming Men, Dan Tien, Ching Mai, Ren Mai, Du Mai, Dai Mai, Yin Qiao Mai, Yin Wei Mai, Yang Qiao Mai and Yan Wei Mai

• Describe the functions of the 3 warmers/burners
• Apply the influential points for each burner/warmer
• Discuss the different types of Qi
• Summarize the formation of Qi, Jing, Shen, blood and pure fluids, according to Chinese medicine

• Discuss the Ren Mai’s overall function
• Introduce a selection of clinically useful points on the Ren Mai (Conception Vessel) meridian
• Discuss the Du Mai’s overall function
• Introduce a selection of clinically useful points on the Du Mai (Governing Vessel) meridian
• Explore the anatomy and indications surrounding LV14

Hour 1:

• Review and expand on, from a Western perspective, the neurophysiological basis of acupuncture
• Outline the pain pathway from the periphery to the central nervous system
• Review excitation/contraction coupling and muscle contraction theory
• Discuss the functions and distribution of alpha and gamma motor neurons

Hour 2:

• Explain and emphasize the functions of interneurons in the spinal cord
• Discuss muscle spindles and golgi tendon organs anatomy
• Explain the role of muscle spindles and golgi tendon organs in acupuncture
• Contrast slow versus fast stretch
• Introduce the concept of the “central integrated state” as it relates to acupuncture and acupuncture therapy
• Emphasize the relevance of cerebellar function to acupuncture as it relates to cerebellar output and modulation

• Acquaint the clinician with the physiological effects of acupuncture and needling
• Provide supportive literature for the physiological effects of acupuncture and needling
• Present the concept of central desensitization as it relates to acupuncture and needling
• Discuss how needling affects pain modulation, range of motion, muscle activation and the chemical environment surrounding trigger points

• Review the 2 major afferent pain pathways
• Discuss the local, segmental and cortical responses to pain and a painful stimulus
• Describe the major, descending inhibitory pathways for pain including the enkephalinergic, serotonergic and noradrenergic pathways
• Describe the cholinergic inhibitory pathway for pain
• Explain how acupuncture affect these pain pathways

• Discuss the layers of the skin as related to a practitioner’s perception during acupuncture
• Review the neurological pathways involved with acupuncture
• Summarize the local, segmental and cortical effects of acupuncture
• Contrast the physiological effects of depth of insertion and retention time of acupuncture

• Outline the basics of clean needle technique, including defining “clean field” and offering recommendations as it related to acupuncture
• Discuss the most common methods of sterilization
• Contrast sterilization vs disposable needles
• Present the most common complications of acupuncture
• Discuss contraindications to acupuncture
• Present the most common infectious agents as risk factors for acupuncture

• Outline current concepts in trigger point theory
• Discuss the neurophysiology of current concepts in trigger point theory
• Distinguish between sclerotomes, dermatomes, myotomes and discuss their importance and trigger point diagnosis
• Discuss objective findings present in trigger point diagnosis
• Explain the importance of segmental relationships and acupuncture

• Develop diagnostic tools and complementary treatment approaches to common foot disorders
•  Outline a complete approach to treatment from assessment to acupuncture to patient advice
•  Discover major points and regions used most to achieve better treatment outcomes
•  Apply palpation and needling concepts to regions affecting/affected by foot disorders
•  Devise treatment plans specific to patient’s foot complaint

• This contains all courses with the educational objectives listed from Acupuncture 222 through 228

• Develop diagnostic tools and complementary treatment approaches to lateral ankle issues, inversion injuries and sinus tarsi syndrome
• Discover the association between lateral ankle injuries and sinus tarsi syndrome
• Outline a complete approach to treatment from assessment to acupuncture to patient advice
• Gain a better understanding of the distribution, pathology and function of the six leg muscle channels
• Devise a treatment plan specific to patient’s lateral ankle injury and sinus tarsi syndrome

• Develop diagnostic tools and complementary treatment approaches to Morton’s metatarsalgia, capsulitis and forefoot pain
• Outline a complete approach to treatment from assessment to acupuncture to patient advice
• Discover major foot points and regions used most to achieve better treatment outcomes
• Apply palpation and “grid” needling concepts to regions affecting/affected by Morton’s metatarsalgia, capsulitis and forefoot pain
• Devise treatment plans specific to patient’s forefoot complaint

• Develop diagnostic tools and complementary treatment approaches to Metatarsophalangeal joint pain, Turf toe and first Metatarsophalangeal (MTP) joint issues
• Outline a complete approach to treatment from assessment to acupuncture to patient advice
• Discover major foot points and regions used most to achieve better treatment outcomes
• Apply palpation and traction needling concepts to regions affecting the first metatarsophalangeal joint
• Devise treatment plans specific to patient’s first metatarsophalangeal joint complaint

• Develop diagnostic tools and complementary treatment approaches to heel pain, plantar fasciitis and plantar fascia disorders
• Outline a complete approach to treatment from assessment to acupuncture to patient advice
• Discover major points and regions used most to treat plantar fascia disorders
• Apply palpation and needling concepts to regions affecting/affected by heel pain, plantar fasciitis and plantar fasciopathy
• Devise treatment plans specific to the patient’s plantar fascia complaint

• Develop diagnostic tools and complementary treatment approaches to tarsal tunnel syndrome
• Outline a complete approach to treatment from assessment to acupuncture to patient advice
• Discover major points and regions used most to treat issues related to the tarsal tunnel of the foot
• Apply palpation and needling concepts to regions affecting/affected by tarsal tunnel syndrome
• Devise treatment plans specific to the patient’s medial foot/tarsal tunnel complaint

• Develop diagnostic tools and complementary treatment approaches to Achilles tendinopathy and related Achiiles tendon issues
• Outline a complete approach to treatment from assessment to acupuncture to patient advice
• Discover major points and regions used most to treat Achilles tendon issues
• Apply palpation and needling concepts to regions affecting/affected by Achilles tendinopathy
• Devise treatment plans specific to the patient’s Achilles tendon issue

• Identify the various styles of acupuncture
• List the branches of Chinese Medicine
• List the various way of stimulating acupuncture points
• Recognize the strengths and weakness of various acupuncture related treatments
• Describe the application of each of the Branches of Chinese Medicine

• This contains all courses with the educational objectives listed from Acupuncture 400 through Acupuncture 420

• This contains all courses with the educational objectives listed from Acupuncture 400 through Acupuncture 462

• Describe the paradigm and progression of Traditional Chinese Medicine.
• Define the five branches of Chinese medicine.
• Explain the basic relationships and theoretical constructs of Yin and Yang
• Identify the most clinically useful associations of Yin and Yang
• Summarize the most clinically useful functions of Yin and Yang

• Compare and contrast Yin and Yang disorders.
• Describe the Yin and Yang relationships within the human body.
• Give Examples of how the Eight Principles relate to one another and to Yin and Yang
• Summarize how the Eight Principles function in relation to human physiology
• Explain how the Eight Principles relate to pathology

• Differentiate Uses of 5 Element Theory in Chinese Medicine
• Reconstruct the Five Elements according to the Creative and Control Cycles
• Explain the functioning of the Creative Cycle
• Explain the functioning of the Control Cycle
• List the Organs Associated with each Element

• Compare and contrast the qualities and characteristics associated with the Five Elements
• Summarize the qualities and characteristics associated with the Five Elements
• Point out the major differences between the Five Elements
• Reconstruct the major Correspondences of the Five Elements
• Differentiate Individuals based on the Five Elements

• Outline the times of day associated with the Organs in Chinese Medicine
• Interpret the significance specific times with regard to Organs
• Relate the Essential substances in Chinese Medicine
• Explain theoretical process of Substance Production
• Reconstruct the role of the three warmers in Qi, Blood, and Fluid Production

• Relate the Theoretical Process of Jing Formation
• Give examples of The Functions of Jing
• Describe Functions of Shen
• Diagram Fluid Production
• Assess Common Fluid Pathologies

• Relate the Theoretical Process of Jing Formation
• Give examples of The Functions of Jing
• Describe Functions of Shen
• Diagram Fluid Production
• Assess Common Fluid Pathologies

• Differentiate the External Pathogenic Factors
• Explain Internal Pathogenic Factors
• Describe How External Pathogenic Factors Influence the body
• Recognize Miscellaneous Pathogenic Factors
• Discuss the TCM viewpoint on the Causes of Disease

• List the Yin & Yang Organs
• Compare and Contrast Yin & Yang Organs
• Reconstruct the Yin/Yang Organ Relationships
• Summarize the similarities and differences of Yin & Yang Meridians
• Reconstruct the SIx Division Meridian Pairs

• Relate the common symptoms associated with the Lungs & Large Intestines
• Define properties of the Lungs & Large Intestines
• Describe the functions of the Lungs & Large Intestines
• Discuss the most common disharmonies of the Lungs & Large Intestines
• Explain the clinically relevant “nicknames” of the Lungs & Large Intestines

• Relate the common symptoms associated with the Spleen & Stomach
• Define properties of the Spleen & Stomach
• Describe the functions of the Spleen & Stomach
• Discuss the most common disharmonies of the Spleen & Stomach
• Explain the clinically relevant “nicknames” of the Spleen & Stomach

• Relate the common symptoms associated with the Organs of the Fire Element
• Define properties of the Organs of the Fire Element
• Describe the functions of the Organs of the Fire Element
• Discuss the most common disharmonies of the Organs of the Fire Element
• Explain the clinically relevant “nicknames” of the Organs of the Fire Element

• Relate the common symptoms associated with the Liver & Gall Bladder
• Define properties of the Liver & Gall Bladder
• Describe the functions of the Liver & Gall Bladder
• Discuss the most common disharmonies of the Liver & Gall Bladder
• Explain the clinically relevant “nicknames” of the Liver & Gall Bladder

• Relate the common symptoms associated with the Kidney & Urinary Bladder
• Define properties of the Kidney & Urinary Bladder
• Describe the functions of the Kidney & Urinary Bladder
• Discuss the most common disharmonies of the Kidney & Urinary Bladder
• Explain the clinically relevant “nicknames” of the Kidney & Urinary Bladder

• Compare the major point categories
• Derive Tonification and Sedation points
• Describe The 12 Main Meridians
• Contrast the functions of Yin and Yang Meridians
• Explain the 6 major Meridian Categories

• List the 14 Acupuncture Meridians that possess acupoints
• Summarize the clinical applications of Yin and Yang Meridians
• Point out the beginning and end points of each of main Meridians
• Outline the main functions of each of the main meridians
• Illustrate the trajectories of the main meridians

• Name the Extraordinary Organs
• Distinguish Extraordinary Organs from Yin & Yang Organs
• Name the Extraordinary Meridians
• Discuss the functions of the Extraordinary Meridians
• Reconstruct the classical treatment sequence for Extraordinary Meridians.

• List the areas of the tongue, as they apply to different aspects of the body
• Relate the common features of the tongue, which indicate disharmonies
• Utilize tongue colors, shapes, coats, and movements for diagnosis
• Determine common Organ disharmonies based on tongue observation
• Distinguish between excess and deficient conditions, based on tongue observation

• Describe normal and common pathological pulses
• Diagnose pathological signs associated with pulse speed
• Explain common pulse qualities
• Summarize usual pulse combinations
• Recognize tongue and pulse combinations associated with common disorders

• Explain Universal Precautions
• Prepare a Clean Field for administering acupuncture
• Secure, handle and dispose of Biohazard material, normally encountered in an acupuncture practice
• Recognize, avoid, and handle acupuncture side effects
• Explain the cautions and contraindications of acupuncture treatment

• List the types of acupuncture meridians
• Distinguish between various types acupuncture meridians
• Describe the functions of various types acupuncture meridians
• Determine and apply individual patient measurements, in order to locate acupuncture points
• List the Transport Points

• This contains all courses with the educational objectives listed from Acupuncture 421 through Acupuncture 436

• Distinguish between acupuncture points categories
• Create supplementing & reducing treatments based on the Five Element points
• Describe the functions of various categories acupuncture points
• Compare and contrast Acupuncture point actions and indications

• Describe and point out the general pathway of the Du Meridian
• Locate each of the individual points on the Du Meridian
• Recognize Du Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Du Meridian

• Describe and point out the general pathway of the Ren Meridian
• Locate each of the individual points on the Ren Meridian
• Recognize Ren Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Ren Meridian

• Describe and point out the general pathway of the Lung Meridian
• Locate each of the individual points on the Lung Meridian
• Recognize Lung Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Lung Meridian

• Describe and point out the general pathway of the Large Intestine Meridian
• Locate each of the individual points on the Large Intestine Meridian
• Recognize Large Intestine Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Large Intestine Meridian

• Describe and point out the general pathway of the Stomach Meridian
• Locate each of the individual points on the Stomach Meridian
• Recognize Stomach Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Stomach Meridian

• Describe and point out the general pathway of the Spleen Meridian
• Locate each of the individual points on the Spleen Meridian
• Recognize Spleen Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Spleen Meridian

• Describe and point out the general pathways of both the Heart & Pericardium Meridians
• Locate each of the individual points on both the Heart & Pericardium Meridians
• Recognize Heart & Pericardium Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on both the Heart & Pericardium Meridians.

• Describe and point out the general pathway of the Small Intestine Meridian
• Locate each of the individual points on the Small Intestine Meridian
• Recognize Small Intestine Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Small Intestine Meridian

• Describe and point out the general pathway of the Bladder Meridian
• Locate each of the individual points on the Bladder Meridian
• Recognize Bladder Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Bladder Meridian

• Describe and point out the general pathway of the Kidney Meridian
• Locate each of the individual points on the Kidney Meridian
• Recognize Kidney Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Kidney Meridian

• Describe and point out the general pathway of the San Jiao Meridian
• Locate each of the individual points on the San Jiao Meridian
• Recognize San Jiao Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the San Jiao Meridian

• Describe and point out the general pathway of the Gall Bladder Meridian
• Locate each of the individual points on the Gall Bladder Meridian
• Recognize Gall Bladder Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Gall Bladder Meridian

• Describe and point out the general pathway of the Liver Meridian
• Locate each of the individual points on the Liver Meridian
• Recognize Liver Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Liver Meridian

• Describe and point out the Location of 31 Extraordinary Points
• Recognize Extraordinary Points that are associated with contraindications
• Recognize both the English and Chinese names of 31 Extraordinary Points
• Compare and contrast the actions and indications of 31 Extraordinary Points
• Describe specific needling associated with those acupuncture points which require unconventional needling techniques or directions

• List the similarities in treatment associated with all acupuncture microsystems
• Describe and point out the location of 17 discrete hand acupuncture points
• Describe and recreate a useful somatotope associated with hand acupuncture
• Compare and contrast 3 different styles of hand acupuncture
• Describe specific needling techniques associated with those hand acupuncture points which require specific needling techniques and/or directions

• This contains all courses with the educational objectives listed from Acupuncture 437 through Acupuncture 440

• List the similarities associated with ear acupuncture and other acupuncture microsystems
• Describe and recreate a clinically-useful somatotope/homunculus associated with ear acupuncture
• Locate the physical structures of the ear, such as the helix, antihelix, triangular fossa, antitragus, etc.
• Describe and point out the location of the major landmarks for auriculotherapy point location
• Describe and point out the location of 36 or more discrete ear acupuncture points

• List the similarities associated with Chinese Scalp Acupuncture and other acupuncture microsystems
• Describe and find treatment areas associated with the somatotope of the cortex of the brain
• Describe and point out the location of the major landmarks, lines, and points, used to find Chinese Scalp Acupuncture treatment areas and lines.
• Describe and point out the location of the 10 most commonly used Chinese Scalp Lines/Areas
• Describe and find the correct layer for needling Chinese Scalp lines, and begin practicing the techniques needed to use this form of acupuncture in clinical practice.

• List the similarities associated with YNSA Scalp Acupuncture and other scalp acupuncture microsystems
• Describe and find treatment areas associated with the YNSA somatotope
• Describe and point out the location of the major landmarks used to find YNSA Scalp Acupuncture points.
• Describe and point out the location of the most commonly used YNSA Scalp Points
• Describe and find the correct procedure and needling technique for treating YNSA Scalp Points, and begin practicing the techniques needed to use this form of acupuncture in clinical practice.

• Identify the various types of acupuncture needles
• List the main formats for administering moxibustion
• Set up and maintain a clean field
• Recognize and take steps to avoid the main risks to acupuncture providers
• Recognize and take steps to avoid the main risks to acupuncture patients

• This contains all courses with the educational objectives listed from Acupuncture 441 through Acupuncture 446

• Identify the various sizes of acupuncture needles
• Describe needle techniques to tonify and sedate acupuncture points
• Demonstrate the common needle insertion angles
• Compare and contrast the size of acupuncture needles with other common needles
• Infer safe and appropriate needle depths for many common acupuncture points

• Identify the various grades of moxa
• Describe various methods for applying indirect moxa
• Demonstrate safe procedures for administering indirect moxa
• Compare and contrast direct and indirect moxibustion
• Determine appropriate methods for administering moxibustion in specific clinical

• Identify conditions which are amenable to treatment with electro-acupuncture
• Distinguish between invasive and non-invasive electro-acupuncture devices and administrative practices.
• Demonstrate safe procedures for administering electro-acupuncture
• Compare and contrast milliamp stimulation with microamp stimulation
• Determine appropriate frequency and intensity settings for administering electro-acupuncture, based on clinical findings

• Identify conditions which are amenable to treatment with cupping and gua sha
• Identify various types of cups and gua sha instruments
• Demonstrate safe procedures for administering gua sha
• Describe post-treatment recommendations and procedures for gua sha & cupping
• Demonstrate safe procedures for administering cupping with both fire silicone cups

• Identify conditions which are amenable to treatment with Laser and TDP Lamp.
• Identify various types and wavelengths of lasers employed in acupuncture
• Demonstrate safe procedures for administering laser acupuncture
• Describe the physical mechanisms associated with photobiology
• Demonstrate safe procedures for administering TDP Lamp

• Differentiate most painful conditions according to TCM theory
• Compare and contrast pain associated with Cold, Heat, Damp, Qi, & Blood Stagnation
• Assess local, distal and adjacent points for the treatment of pain
• Select appropriate modalities for various painful conditions
• Formulate meridian based treatment strategies for many painful conditions

• This contains all courses with the educational objectives listed from Acupuncture 447 through Acupuncture 451

• Identify many primary points for the treatment of pain
• Describe the relationships of the individual meridians within yangming, shaoyang, and taiyang classifications
• Formulate treatment strategies based on the 6 Divisions
• Compare and contrast yangming, shaoyang, and taiyang areas of influence
• Choose appropriate techniques for treating trigger points

• Describe the special pathways of the sinew meridians relevant to the treatment of pain
• Identify Jing points for the treatment of pain according to main and sinew meridian pathways
• List the points used to activate the anterior, posterior, lateral and medial  treatment zones
• Compare and contrast posterior, lateral and medial zones as they relate to acupuncture treatment
• Describe the procedure using zonal treatment for treating pain

• Identify the most common painful disorders of the head and neck that can be treated effectively with acupuncture
• Choose effective points for treating many painful disorders of the head and neck
• Identify the most common painful disorders of the upper extremity and trunk that can be treated effectively with acupuncture
• Choose effective points for treating many painful disorders of the upper extremity and trunk
• Determine appropriate treatment modalities for common painful conditions of the upper body

• Identify the most common painful disorders of the back and lower extremity that can be treated effectively with acupuncture
• Choose effective points for treating many painful disorders of the back and lower extremity
• Compare and contrast the Bladder and Gall Bladder Meridians an their influences on the lower back
• Compare and contrast the zones and meridians associated with the back and leg
• Choose appropriate treatment modalities for painful conditions of the back and leg

• Interpret phenomena in terms of Yin &Yang
• Apply the theory of Yin-Yang to Chinese medicine
• Describe the concepts of deficiency and excess of Yin & Yang
• Identify phenomena according to the Five Elements
• Apply the theory of Five Elements to Chinese medicine
• Summarize the interrelationships of the Generating, Controlling, and Over-acting Cycles of the Five Elements  
• Differentiate the origin, nature, & functions of Pre-Heaven Essences
• Explain the functions of Qi in the body
• Outline the relationship between Blood and Qi
• Explain the relationship between Blood and Essence
• Contrast and Compare Blood and Body Fluids
• Identify the different aspects of the Mind as it is understood within Chinese medical theory

• This contains all courses with the educational objectives listed from Acupuncture 452 through Acupuncture 461

• Describe the functional activities of Qi and their associated physiological processes in the body
• Explain the role of the Original Qi as the dynamic motive force for transformation
• Analyze the interrelationship of the Essence and the Fire of the Gate of Life
• Explain the process of the movement of Qi in the body
• Summarize the role of the bones as one of the deepest energetic layers
• Paraphrase how the entering and exiting of Qi from the space between the skin and  muscles regulates sweating
• Describe how Qi enters and exits from the joints, and how this process can become interrupted
• Explain the nature and functions of the Yin and Yang organs in general, and the essential differences between them
• Infer how the Kidneys, as the foundation of Yin and Yang and the origin of Fire and Water in the body, impact the other Organs
•  Give examples of how the role of the Stomach and Spleen as the “center,” impacts the body’s function
•  Summarize the relationships between Heart and Blood
• Outline how anger affects the Liver and how a Liver disharmony affects our moods

• Describe the importance of the Pericardium channel in acupuncture treatment
• Discuss the significance of the Triple Burner in the Qi mechanism
• Match the Heart with various emotions, substances, & organs
• Differentiate the relationships of Blood to the Heart, Liver, and Spleen
• Recognize the various aspects of the soul, and the organs to which those aspects are most closely related
• Give examples of how the Liver and Spleen interact in making and storing the Blood
• Explain the significance of the descending of Lung-Qi and the ascending of Liver-Qi
• Relate the free flow of Liver-Qi to the Spleen's function of transformation and transportation
• Explain how a deficiency of Spleen-Qi, leading to the formation of Phlegm, affects the Lungs
• Summarize the relationships between the Kidneys and the Spleen
• Discuss the complexities of the relationship of Blood to Spleen, Heart and Liver
• Distinguish the roles played by the Yin and Yang organs, in the management of fluids
• Diagram the more significant interrelationships of the five Yin organs
• Compare and Contrast the Extraordinary organs with the Yin & Yang organs

• Explain how climatic factors can become a cause of disease
• Assess the influence of the constitution on predisposition to health or disease
• Compare diagnostic signs of a strong or weak constitution
• Discuss how excessive physical work and exercise can cause disease
• Relate the significance of poor diet and eating habits as a cause of disease
• Summarize the importance of paying attention to a patient's constitutional type
• Interpret clinical meaning of changes in the tissues and other parts of the body
• Recognize the importance of the tongue as a pillar of diagnosis
• Integrate tongue and pulse diagnosis to confirm suspected patterns and indicate the presence of patterns not evident from other signs and symptoms
• Recognize the frequency of tiredness as a complaint in Western patients, and utilize  methods of questioning to ascertain appropriate patterns of disharmony
• Differentiate the clinical significance of feelings of cold, heat, and fever, and their different clinical significance in exterior and interior conditions
• Justify the importance of questioning and observing the patient's emotional state
• Recognize the significance of asking about menstruation, leucorrhoea, pregnancy, and childbirth
• Examine children's symptoms, in the areas of digestion, respiration, sleep and immunization

• Describe the role of the radial pulse in diagnosis
• Give examples of the problems inherent in pulse diagnosis
• Discuss the clinical significance of the three levels of the pulse
• List the factors to take into account when evaluating the pulse
• Recognize signs from palpating the temperature, moisture, and texture of the skin
• Explain how palpation of the abdomen provides valuable diagnostic information
• Recognize the various forms taken by 'Excess of Yang' and 'Deficiency of Yang'
• Recognize the various forms taken by 'Excess of Yin' and 'Deficiency of Yin'
• Summarize the diagnostic significance of the sounds of breathing, cough, vomiting, hiccup, borborygmi, sighing etc.
• Analyze the implications of ascending/descending and entering/exiting of Qi
• Point out the significance of the smell of bodily secretions
• Identify the Full/Empty nature of a condition, according to the presence or absence of a pathogenic factor and the strength of the body's Qi

• Identify the four pathological patterns of Qi disharmony
• Defend the importance of distention as a characteristic of Qi stagnation
• Identify the four Blood pathology patterns
• Distinguish between various types of Blood stasis in the Liver, Heart, Lungs, Stomach, Intestines and Uterus
• Recognize the causes of Blood stasis
• Identify the three types of pathological Body Fluid patterns
• Give examples of Phlegm in Chinese medicine
• Outline the role of the Spleen, Lungs and Kidneys in the production of Phlegm
• Differentiate between the various Heart pathologies
• Discuss how pathologies of the Pericardium differ from those of the Heart
• List the general characteristics of Liver pathology
• Differentiate between the various Liver pathologies

• Describe how exterior Wind (combined with Heat or Cold) can invade the Lung Exterior portion to cause exterior patterns
• Discuss and differentiate the effects of Dryness and Dampness on the Lungs
• Recognize Lung Deficiency patterns
• Identify Lung Excess patterns
• Differentiate Lung Phlegm patterns
• Describe and differentiate Spleen Deficiency Patterns
• Compare and contrast Spleen Cold-Dampness and Damp-Heat in the Spleen
• Analyze the significance of the duality of Kidney-Yin and Kidney-Yang in Kidney pathology
• Point out the differences and similarities associated with Yin, Yang, and Jing Deficiencies in the Kidneys
• Outline the importance of heredity in determining the strength of a child's Kidneys
• Apply the significance of Stomach-Qi in prognosis
• Illustrate how Stomach-Qi manifests on tongue and pulse

• List the main functions of the Small Intestine
• Describe the main functions of the Large Intestine
• Summarize the role of diet in Large Intestine pathology
• Discuss the importance of the Gall Bladder's function of storing bile
• Relate the pathology of Gall Bladder pathology to that of the Liver
• Outline the main Bladder function of transforming and excreting fluids
• Explain why the Kidneys do not have Full patterns
• Differentiate Damp-Heat in the Bladder from Damp-Cold in the Bladder
• Give examples of symptoms of the stages of external Wind invasion
• Identify the main clinical manifestations of the emergence of Latent Heat
• Recognize Damp-Heat in the Gall Bladder and Liver
• Distinguish between Bright Yang, Greater Yang, Lesser Yang, Greater Yin, Lesser Yin, and Terminal Yin patterns
• Distinguish between Wei, Qi, Ying and Blood Level patterns

• Identify patterns according to the Three Burners
• Relate patterns according to the Three Burners to those of the Four Levels
• Integrate the relationship between the channels and the organs in disease
• List the causes of channel problems
• Diagnose channel patterns 
• Identify the Generating and Overacting sequence patterns
• Relate the Qi of the channels to a flow of water
• Explain the importance of the Transporting Points in clinical practice
• Describe the connection between the channels and the environment
• Summarize the dynamism of points at the end and beginning of the channels
• Outline the significance of the regulating, balancing and integrating functions of the extraordinary vessels
• List the different ways that opening and coupled points can be used to open the Vessels
• Determine when to use the extraordinary vessels

• Cite the clinical applications of the Governing Vessel
• Recall the clinical applications of the Directing Vessel
• Distinguish the five branches of the Penetrating Vessel
• Relate the clinical applications of the Girdle Vessel
• Give examples of the clinical applications of the Yang Stepping Vessel
• Discuss how the Yin and Yang Stepping Vessels combine in Pathology
• Recognize the importance of adopting the correct treatment principle
• Point out how the Root and Manifestation relate to each other
• Describe how a Manifestation can become a Root of further Manifestations
• Explain the importance of tracing clinical manifestations back to their Roots
• Summarize the importance of knowing when to tonify Qi or expel pathogenic factors
• Recognize the importance of being aware of residual pathogenic factors
• Compare herbal treatment and acupuncture

• Needling Basics: Establish a solid foundation in proper hand positioning, needle insertion, and withdrawal techniques to ensure precision and safety.
• Anatomical Point Location: Develop skills in locating key acupuncture points using anatomical landmarks and palpation techniques with accuracy and consistency.
• Safe and Effective Practice: Demonstrate proficiency in applying appropriate needle depths, angles, and insertion techniques tailored to different body areas, types, and conditions while adhering to safety protocols.
• Advanced Manipulation Techniques: Learn and apply advanced needling methods, such as tonification (strengthening) and sedation (calming) to achieve specific therapeutic outcomes.
• Patient Interaction and Response Management: Recognize and respond to patient feedback—verbal and non-verbal—to enhance comfort and optimize effectiveness.
• De Qi and/or Trigger Point Release Proficiency: Identify and work with the De Qi sensation and/or Point Release Signals, understanding their importance in therapeutic efficacy and adjusting techniques based on tactile feedback.
• Troubleshooting Complications for patient safety and risk management: Learn to address common challenges like fainting, needle retention, or discomfort in real-time clinical settings.
• Clinical Application: Integrate needling techniques into case-specific treatment plans for common issues like musculoskeletal pain, stress, and internal disorders.
• Regulatory and Ethical Considerations: Apply ethical guidelines and legal requirements for acupuncture within the chiropractic scope of practice to ethically apply acupuncture and Manage Risk
• Building Confidence Through Live Interaction: Gain experience through live model demonstrations and interactive Q&A to build competence in needling techniques.

• Compare and contrast Yin and Yang as they relate to Acupuncture theory, diagnosis and treatment
• Explain the 8 Principles and apply them to Acupuncture diagnosis
• Describe the interrelationships of the Five Elements, and explain their significance in acupuncture theory
• Recall the daily time allotments associated with each organ and meridian according to the Horary Cycle
• Distinguish the main functions and pathologies of the Yin organs
• Recognize the main points in point prescriptions used to treat many common disharmonies of the organs
• Identify the functions and pathologies associated with Qi, Jing, Blood, Shen and Fluids
• List the 71 Meridians of acupuncture
• Reproduce a chart of the most important acupuncture points.
• Identify areas of further study needed by the student for successful performance on a national board exam in acupuncture.

• Explain the concept of whole-being care and its relationship to chiropractic philosophy, emphasizing the integration of physical, mental, and spiritual health.
• Describe the role of spinal alignment in optimizing nervous system function and its downstream effects on overall health outcomes, including stress resilience, sleep quality, and immune function.
• Identify evidence-based strategies for patient education that move beyond symptom management to long-term health empowerment.
• Interpret key research findings linking chiropractic interventions with measurable health benefits, such as reduced surgery rates and improved neuroplasticity.
• Apply lifestyle and care recommendations—including sleep hygiene, movement, nourishment, stress management, and growth mindset—to enhance patient engagement and clinical outcomes.

Musculoskeletal

• Explain the causes behind Musculoskeletal Injuries
• Compare the minimum/maximum times during the Acute, Repair, and Remodeling Phase of Recovery
• Summarize protocols for acute inflammation
• Demonstrate a Kinetic Chain Assessment
• Explain why indirect cause of injury can be as disabling due to tissue overuse and overload
• Contrast and compare male vs female most common extremity injuries
• Contrast the differences between high school, collegiate, and professional athletic injuries
• Summarize how gold-standard management drives lower injury rates and duration
  

Nutrition

• Develop components of a typical healthy meal plan for athletes
• Differentiate between healthy and unhealthy food choices in each category of FAT, CHO, PRO
• Identify problem foods specific to the individual athlete
• Explain CHO loading and examples of high glycemic index foods
• Describe meal plan for post-exercise "window of recovery"
• Describe benefits and sources of branched chain amino acids for athletic recovery
• Explain purpose of omega 3 fatty acids during recovery phase of athletic activity
• Define components of female athlete triad
• List vitamins and minerals required to rebuild bone health in female athlete triad
• Name ergogenic nutrients acceptable to the World Anti-Doping Agency

Dehydration

• Explain difference between dehydration and hyponatremia
• Recognize early or acute signs and symptoms of dehydration and hyponatremia
• Discuss benefits of each method of determining hydration status
• Demonstrate treatment intervention for heat cramps
• Compare energy drink to sports drink

Concussion

• Define and recognize brain concussion, second impact syndrome, and chronic traumatic encephalopathy.
• Describe frequency of sports concussion and common duration of signs and symptoms.
• Describe all possible results of head trauma, including second impact syndrome, intracranial hematoma, skull fracture, brain contusion, cervical injury (both mild and dangerous)
• Differentiate and rule out dangerous results from head trauma.
• Demonstrate proper exam procedures following head trauma on field.
• Demonstrate proper exam procedures to clear the cervical spine on field.
• Perform the SCAT 3 exam and describe how it is to be used both on field and in the office.
• Describe how and why one performs serial exams after head trauma on field.
• Describe return to play protocols for concussed athletes.
• Describe prevention procedures for sports concussion.

• Explain the phases of human walking gait
• Discuss the biomechanical events associated with stance phase of gait
• Discuss the biomechanical events associated with swing phase of gait
• Explain biomechanically what is happening during each phase of gait in the foot, ankle, knee and hip
• Discuss the 3 rockers of the foot and how they apply to the gait cycle
• Understand the calcaneocuboid locking mechanism and defend it's importance in the stance phase of gait
• Summarize the ranges of motion of the foot, ankle, knee and hip and their importance in normal gait
• Explain how stance phase abnormalities would impact the gait cycle
• Demonstrate competency in obtaining a reproducible Pedograph print
• Interpret rearfoot, midfoot and forefoot mechanics as seen on a pedograph print
• Identify and interpret problem areas in a pedograph print
• Identify stance phase abnormalities on a Pedograph print
• Extrapolate pathomechanics which would occur rostrally in the kinetic chain during pathomechanics occurring in the gait cycle
• Evaluate the impact of gait abnormalities on human locomotion

• Describe how the motor and sensory homunculus relate to the foot and are integral to training and rehabilitation
• Discuss the 3 rockers of the foot
• Give examples of problems that result from a loss of the 3 rockers of the foot
• Explain the concept of pelvis neutrality and its effect on training
• Describe and examine the tripod of the foot
• Breakdown most movement into 2 basic rules or tenets
• Give examples of the problems which can arise if the 2 basic rules or tenets of movement are not followed
• Discuss the clinical consequences of loss of the medial and lateral tripods of the foot

• Discuss the normal walking gait cycle
• Apply the biomechanics of the pelvis and lower kinetic chain during walking to clinical practice
• Predict and discuss problems and clinical strategies that can arise from altered lower extremity biomechanics
• Apply visual analysis skills
• Evaluate case studies in gait analysis
• Clinically apply solutions for gait abnormalities

• Describe and identify how the parts of a running shoe affect running biomechanics
• Compare and contrast different shoe constructions to the biomechanical needs of an individual
• Determine the appropriate last shape for different foot types
• Discuss the biomechanical consequences of improper vs. proper selection of last types
• Predict which features in a shoe are necessary to correct faulty gait patterns

• Explore barefoot running from a position of biomechanical efficiency
• Contrast the differences in shod vs unshod running
• Predict problems that can arise from shod and barefoot running
• Apply visual analysis skills to barefoot running technique
• Describe how to introduce barefoot running to your patient population

• Discuss the salient points of conducting a visual gait analysis
• Review the gait cycle and associated kinetics and kinematics
• Discuss step length, stride length and how they are affected in a case of a person with posterior compartment weakness
• Review the biomechanics associated with heel rise
• Propose rehabilitation strategies for specific cases that were reviewed

• Discuss the pitfall of video assessment of gait cases
• Review the gait cycle with respect to stance phase abnormalities in a gait case
• Differentiate between step length and stride length
• Review heel rise and the windlass mechanism
• Discuss the function of the long flexors of the toes in gait
• Evaluate pelvic posturing as it relate to a gait case
• Discuss the gait pathomechanics that result from a herniated disc

• Review the pertinent anatomy of the knee
• Review the kinematics and kinetics of knee function during the gait cycle
• View and discuss case studies involving knee function
• Predict pathomechanics that will arise from the gait abnormalities presented
• Propose remedies for the gait abnormalities seen

• Review the pertinent anatomy of the hip
• Review the kinematics and kinetics of hip function during the gait cycle
• View and discuss case studies involving hip function and common clinical scenarios
• Predict pathomechanics that will arise from the gait abnormalities presented
• Propose remedies for the gait abnormalities seen

• Review the walking gait cycle
• Review the running gait cycle
• Identify the key differences between walking and running gait
• Review the kinematics and kinetic differences between walking and running gait
• View case studies involving different walking and running gait styles
• Predict pathomechanics that may arise from gait abnormalities presented

• Review anatomical vs functional short leg
• Review the kinematics and kinetics of the short leg during the gait cycle
• View and discuss case studies looking at functional and anatomical short legs
• Predict pathomechanics that will arise from a short leg
• Propose remedies for the gait abnormalities seen

• Review fore foot to rearfoot relationships
• Review the different rear foot types
• Review the kinematics and kinetics of rear foot function during the gait cycle
• View and discuss case studies involving different rear foot types
• Predict pathomechanics that will arise from gait abnormalities presented
• Propose remedies for the gait abnormalities seen

• Breakdown the gait cycle into its component parts
• Recognize some less common gait abnormalities seen in gait analysis
• Assess actions of the lower kinetic chain during gait
• Predict pathomechanics that will arise from gait abnormalities presented

• Review how to determine foot type
• Describe and identify the five common foot types
• Explain how foot type effects gait biomechanics
• Compare and contrast different clinical examples of each foot type
• Discuss some treatments that can be utilized when a client presents with a particular foot type

• Briefly describe the history of the pedograph
• Compare pedographs with other technologies available for foot imprinting
• Explain how to obtain a reproducible pedograph
• Discuss pedograph interpretation and what it means clinically

• Review the pertinent anatomy of the foot
• Review the kinematics and kinetics of foot function during the gait cycle
• View and discuss case studies involving foot function and common pathomechanics
• Predict pathomechanics that will arise from the gait abnormalities presented
• Propose remedies for the gait abnormalities seen

• Define the crossover gait
• Visually identify the crossover gait
• Explain the biomechanical elements of the crossover gait
• Analyze the cross over gait
• Give examples of the cross over gait
• Integrate your knowledge of the cross over gait to formulate an appropriate treatment plan
• Outline some common exercises for cross over gait remediation

• Examine how arm swing correlates and integrates with the gait cycle
• Visually identify arm swing
• Explain the biomechanical elements of arm swing
• Analyze arm swing
• Give examples of normal and abnormal arm swing
• Integrate your knowledge of arm swing to formulate an appropriate treatment plan

• Define minimal vs. neutral vs. guidance vs. motion control shoes
• Contrast minimal vs. neutral vs. guidance vs. motion control shoes
• Discuss current shoe trends
• Discuss ramp delta and its implications in shoes and shoe fit

• Review the injuries associated with an improperly fitting bike frame and how to properly size a frame to a person
• Discuss how cleat position can lead to biomechanical problems and injuries related to power loss.
• Demonstrate how to properly place cleats on shoes to avoid injury and increase power transfer
• Discuss injuries that stem from inappropriate seat height, saddle for and aft position and handlebar reach and explain how to determine appropriate seat height, fore and aft saddle position and handlebar reach.

• Review static postural foot assessment as it relates to a case study
• Describe muscular compensations that may occur as the result leg length differences
• Compare muscular action vectors and their changes with aberrant foot mechanics
• Discuss the concept of flexor dominance and how it relates to the long flexors of the toes

• Discuss the gait cycle and gait cycle biomechanics
• Discuss Tetrasomy 18 and Chronic Inflammatory Demyelinating Polyneuropathy etiologies
• Discuss Tetrasomy 18 and Chronic Inflammatory Demyelinating Polyneuropathy gait abnormalities
• Propose rehabilitation strategies for abnormalities commonly seen in many neurological disorders

• Review the anatomical and functional causes of  leg length discrepancies
• Review the kinematics and kinetics of leg length discrepancies during the gait cycle.
• View and discuss several new case studies looking at anatomical leg length discrepancies and the impact of compensations to accommodate the fixed changes. 
• Discuss examination procedures to facilitate understanding of the pathomechanics resulting from a leg length discrepancy. 
• Propose intrinsic and extrinsic remedies for the gait abnormalities seen.

• Provide an overview of orthotic therapy
• Review orthotic casting processes and contrast differences and potential pitfalls in them
• Discuss common problems arising from orthotic prescription (blisters, pain during use, pressure spots, etc)
• Propose mechanisms for why problems occur biomechanically
• Present remedies for common problems that arise

• Discuss retraining CNS sensory and motor patterns
• Present several key concepts in visual gait analysis
• Introduce lesser known anatomical points of interest in the sacroiliac joint
• Discuss some rehabilitation strategies for the sacroiliac joint

• Discuss retraining CNS sensory and motor patterns
• Present several key concepts in visual gait analysis
• Introduce lesser known anatomical points of interest in the sacroiliac joint
• Discuss some rehabilitation strategies for the sacroiliac joint
• Discuss the ideal kinetics and kinematics of the walking gait cycle
• Present the normal lower extremity parameters/ontogeny surrounding the requisites for gait
• Explore the impact of lower extremity torsions on foot progression angle
• Highlight the differences between tibial and femoral leg length discrepancies
• View video examples of different aspects of gait
• Review the mechanics of the bridge exercise
• Discuss the current indexed literature surrounding the bridge exercise
• Describe potential pitfalls in performing and prescribing the bridge exercise
• Point out the differences of maintaining a "neutral spine" versus an increased or decreased lumbar lordosis
• Identify potential ways to correct faulty mechanics and optimize performance of the bridge exercise
• describe a new, novel test to diagnose gluteus medius tears
• explain the various functions of the gluteus maximus and medius
• explore the effects of a resistance band around the knees on the gluteus maximus, quadricep and valgus angles on the knees during a back barbell squat
• contrast gluteus medius resistance and rehabilitation exercises with respect to maximal recruitment
• discuss electromyographic activity in the gluteus medius, gluteus maximus, biceps femoris, vastus lateralis, vastus medialis and rectus femoris during the Monopodal Squat, Forward Lunge and Lateral Step-Up exercises

• Discuss the ideal kinetics and kinematics of the walking gait cycle
• Present the normal lower extremity parameters/ontogeny surrounding the requisites for gait
• Explore the impact of lower extremity torsions on foot progression angle
• Highlight the differences between tibial and femoral leg length discrepancies
• View video examples of different aspects of gait

• Review the mechanics of the bridge exercise
• Discuss the current indexed literature surrounding the bridge exercise
• Describe potential pitfalls in performing and prescribing the bridge exercise
• Point out the differences of maintaining a "neutral spine" versus an increased or decreased lumbar lordosis
• Identify potential ways to correct faulty mechanics and optimize performance of the bridge exercise

• describe a new, novel test to diagnose gluteus medius tears
• explain the various functions of the gluteus maximus and medius
• explore the effects of a resistance band around the knees on the gluteus maximus, quadricep and valgus angles on the knees during a back barbell squat
• contrast gluteus medius resistance and rehabilitation exercises with respect to maximal recruitment
• discuss electromyographic activity in the gluteus medius, gluteus maximus, biceps femoris, vastus lateralis, vastus medialis and rectus femoris during the Monopodal Squat, Forward Lunge and Lateral Step-Up exercises.

• Review ideal walking gait biomechanics
• Discuss the current indexed literature surrounding sandals and open back footwear relative to musculoskeletal symptoms
• Describe pathomechanics associated with wearing flip flops and open back footwear
• Contrast the ideal gait cycle with the gait cycle while wearing flip flops, sandals and open back footwear
• Identify potential ways to correct faulty mechanics associated with wearing open back footwear

• Review ideal walking gait biomechanics
• Discuss the indexed literature surrounding movement patterns, gait remodeling and therapeutic uses of a split treadmill
• Rehab gait movement patterns
• Develop a deeper understanding of arm swing, leg swing, and interlimb timing and coordination.

• Identify ideal walking gait biomechanics
• Discuss the indexed literature surrounding movement patterns, gait impairments and compensations.
• Analyze arm swing, leg swing, and interlimb timing and coordination.
• Interpret local foot biomechanics and compensations.

• Identify ideal walking gait biomechanics
• Discuss the indexed literature surrounding movement patterns, gait impairments and compensations.
• Analyze arm swing, leg swing, and interlimb timing and coordination.
• Interpret local foot biomechanics and compensations.

• Review the gait cycle and gait cycle biomechanics
• View and discuss case studies of gait pathologies
• Assess actions of the lower kinetic chain during gait
• Predict pathomechanics that will arise from gait abnormalities presented
• Propose remedies and rehabilitation strategies for the gait abnormalities seen

Hour 1

• Identify some common gait abnormalities seen in gait analysis and develop mental strategies in evaluating the 3 cardinal planes of motion and potential failures in the loading of these planes.
• Categorize the Fast and Slow phases of an imbalance asymmetrical gait and define rehabilitation strategies to remedy the gait pathology.
• Develop a conceptual overview of how step length and stride length change in a limping gait.
• Breakdown portions of the gait cycle into its component parts, including compensation patterns
• Conceptualize the gait changes oriented around a hallux (great toe) amputation and learn to predict gait compensations off of a fixed anatomic anomaly.
• Describe arm swing and how it plays out in gait, particularly asymmetrical, and develop some treatment concepts in addressing this asymmetry.

Hour 2

• Discuss the critical function of the deep neck flexors and transverse abdominus, and how they related to gait, especially the running athlete.
• Identify the 3 compartments of the thoracolumbar fascia and translate them into gait concepts and treatment concepts.
• Develop treatment concepts in addressing this asymmetry and define in-phase and out-of-phase arm and leg swing assimilation
• Discuss on a surface level the concepts of speed in gait, and how to adjust the speed of one's gait to break down gait components that might lead to better treatment directions.
• Describe central pattern generators and relate to arm swing on a neurologic level.
• Recognize some common gait abnormalities seen in gait analysis such as arm swing, step length, the cross over gait, and develop mental strategies in evaluating the 3 cardinal planes of motion and potential failures in the loading of these planes when it comes to these gait parameters.

• Present the etiology of blister and callus formation
• Review the gait cycle and the biomechanical events relevant to callus formation
• Review pronation and supination motions of the foot and how they relate to low and high gear push off
• Review the 3 rockers and how they can relate to callus formation
• Discuss the more common callus patterns in feet
• Describe the foot pathomechanics that lead to callus formation

• Discuss the anatomy of the tibialis posterior muscle
• Emphasize the importance of blood supply and the presence of watershed areas leading to tendon pathoanatomy
• Present the biomechanics associated with this muscles normal activity vs dysfunction
• Show clinical examples of posterior tibial tendon dysfunction
• Discuss orthotic intervention and exercises that are useful in remediation of posterior tibial tendon dysfunction

• Discuss the anatomy of the tibialis posterior muscle
• Emphasize the importance of blood supply and the presence of watershed areas leading to tendon pathoanatomy
• Present the biomechanics associated with this muscles normal activity vs dysfunction
• Show clinical examples of posterior tibial tendon dysfunction
• Discuss orthotic intervention and exercises that are useful in remediation of posterior tibial tendon dysfunction

• Review the pertinent anatomy of the achilles tendon and adjacent structures
• Discuss watershed zones of microvascualrity and how they can be compromised 
• Discuss the mechanisms of how many achilles tendinopathies and pathologies occur
• Present some methods of treatment and remediation for achilles tendinopathies

• Review the pertinent anatomy of the achilles tendon and adjacent structures
• Discuss watershed zones of microvascualrity and how they can be compromised 
• Discuss the mechanisms of how many achilles tendinopathies and pathologies occur
• Present some methods of treatment and remediation for achilles tendinopathies

• Discuss actual cases of problems remediated by orthotic therapy
• Discuss the pathomechanics of the problem and kinetics/ kinematics of the remediation
• Show orthotic modifications for specific issues
• Demonstrate additional therapies/exercises/modalities that assist in specific problem management

• Present the 5 basic foot types
• Discuss the biomechanics of each foot type
• Show and explain pedograph prints of each foot type
• Contrast and compare traditional vs a novel method of foot type determination
• Talk about common orthotic prescriptions for specific foot types

• Describe the biomechanics of rotation of a thoracic ring at the levels T1-T7.
• Describe the biomechanics of the Cervical spine, Thoracic spine, ribs, clavicle and manubrium with elevation of the right or left shoulder.
• Describe the biomechanics of flexion and extension at the Costotransverse joint at T9.
• Describe the differences in motion of the mobile segments between T3 -T7 with side flexion occurring first in the Thoracic spine.

• Describe the biomechanics of rotation of a thoracic ring at the levels T1-T7.
• Describe the biomechanics of the Cervical spine, Thoracic spine, ribs, clavicle and manubrium with elevation of the right or left shoulder.
• Describe the biomechanics of flexion and extension at the Costotransverse joint at T9.
• Describe the differences in motion of the mobile segments between T3 -T7 with side flexion occurring first in the Thoracic spine.
• Describe the physiology of breathing and how altered pH can affect the body.
• Describe two functions of the diaphragm.
• Identify limited chest expansion and Bradcliff angles and ski jumps
• Identify limited lateral costal breathing and how to facilitate normal lateral costal breathing
• Describe how altered breathing patterns can alter pH and how this can affect the body.
• Describe the autonomic nervous system and function.
• Name three physiological consequences of respiratory alkalosis.
• Describe suboptimal breathing patterns and their effect on the cervical spine and chronic pain.
• Name and describe the different types of sleep apnea.
• Describe the three levels of Apnea-hypopnea index AHI.
• List five symptoms of sleep apnea.
• List two treatments for sleep apnea.

• This contains all courses with the educational objectives listed from Breathing Essentials 201 through Breathing Essentials 207

• Describe the physiology of breathing and how altered pH can affect the body.
• Describe two functions of the diaphragm.
• Identify limited chest expansion and Bradcliff angles and ski jumps
• Identify limited lateral costal breathing and how to facilitate normal lateral costal breathing

• Describe how altered breathing patterns can alter pH and how this can affect the body.
• Describe the autonomic nervous system and function.
• Name three physiological consequences of respiratory alkalosis.
• Describe suboptimal breathing patterns and their effect on the cervical spine and chronic pain.

• Name and describe the different types of sleep apnea.
• Describe the three levels of Apnea-hypopnea index AHI.
• List five symptoms of sleep apnea.
• List two treatments for sleep apnea.

• Describe the physiological response of aerobic exercise on the respiratory system.
• Describe the effect of running on the viscera and the diaphragm.
• Describe the response to inspiratory muscle fatigue on the body.
• List one device than may increase endurance of the respiratory muscles.

• Describe the anatomical structure of the diaphragm including innervation and blood supply.
• List four causes that may damage the innervation to the diaphragm and effect normal function.
• Describe the factors involved in Intensive Care Unit Acquired Weakness.
• Be able to describe the pros and cons of early mobilization in the ICU.

• Distinguish the meaning and implications of many important terms pertaining to the clinical practice of filiform needling therapies.
• Categorize the most common types of trigger points.
• Incorporate myofascial stress patterns into previously learned myofascial frameworks.
• Compare & contrast the legal, theoretical & practical commonalities & differences associated with the filiform needling therapies of dry needling & acupuncture.

• This contains all courses with the educational objectives listed from Dry Needling 201 through 206

• Demonstrate Clean & Safe needle handling, application, & disposal
• Recognize and reduce risks To Dry Needle Providers
• Recognize and reduce risks To Dry Needle Patients
• Integrate Dry Needling into an Existing Practice
• Document Dry Needling Diagnosis & Treatment

• Identify common filiform needle sizes and types.
• Select appropriate filiform needles for various applications.
• Integrate trigger point releasing concepts & practices.
• Apply effective trigger point releasing needle techniques.
• Outline common myofascial stress patterns.

• Identify Common Myofascial Stress Patterns.
• Discuss the differences commonalities & differences associated with myofascial stress patterns and traditional acupuncture meridians.
• Palpate & Locate Primary Points for Releasing Posterior Myofascial Stress Patterns.
• Palpate & Locate Primary Points for Releasing Anterior Myofascial Stress Patterns.
• Palpate & Locate Primary Points for Releasing Lateral Myofascial Stress Patterns.

• Diagnose & Treat Posterior Myofascial Stress Patterns & Related Trigger Points.
• Diagnose & Treat Lateral Myofascial Stress Patterns & Related Trigger Points.
• Diagnose & Treat Anterior Myofascial Stress Patterns & Related Trigger Points.
• Diagnose & Treat Head & Neck Myofascial Stress Patterns & Related Trigger Points.

• Integrate information from previous 5 classes to efficiently diagnose painful myofascial conditions, create effective treatment plans, and locate effective trigger points in the head & neck regions.
• Integrate information from previous 5 classes to efficiently diagnose painful myofascial conditions, create effective treatment plans, and locate effective trigger points in the Traps & Upper Back.
• Integrate information from previous 5 classes to efficiently diagnose painful myofascial conditions, create effective treatment plans, and locate effective trigger points in the Shoulder, Arm, Chest, Elbow, Wrist, Hand.
• Integrate information from previous 5 classes to efficiently diagnose painful myofascial conditions, create effective treatment plans, and locate effective trigger points in the Mid-Back, Lower Back, Hip/Thigh, Knee/Leg, Ankle, & Foot.

• Explore contemporary healthcare issues from the perspective of Robert Lustig, MA and John Abramson, MD.
• Integrate the relevance of these issues to the chiropractic profession.
• Evaluate at the concept of evidence-based “medicine,” especially the “randomized controlled trial,” and describe how it applies to the chiropractic profession.
• Discriminate recent examples of “randomized controlled trials,” especially as related to pain syndromes and opioid drugs.Discusss the importance of the 2021 Nobel Prize for the chiropractic profession and mechanical-based care.
• Detail the physiology of the Piezo1 mechanical receptor.
• Introduce the concepts of mechanical function and mechanical neurology.
• Integrate the importance of the cerebellum to mechanical integrity and mechanical based care.
• Explain a randomized clinical trial that supports mechanical-based chiropractic care for visceral physiology.
• Distinguish the basic physiology of the neurotransmitter norepinephrine.
• State the basic physiology of the neurotransmitter dopamine.
• Outline the basic physiology of the neurotransmitter serotonin.
• Integrate the balance of the neurotransmitters dopamine and serotonin.
• Recite the relationship between the neurotransmitters dopamine, epinephrine and norepinephrine.
• Explore the concept of Heart Rate Variability (HRV).
• Integrate upper cervical chiropractic care, spinal chiropractic care, and HRV.

• Describe the relationship of the sympathetic nervous system and immunology.
• Relate the sympathetic nervous system and headache.
• Emphasize the importance of the opiate receptors in the periaqueductal gray matter and pain suppression.
• Summarize activation of the periaqueductal gray matter with chiropractic adjusting for pain suppression.
• Define the tensegrous matrix as relevant to chiropractic assessment and care.
• Integrate electrical nerve interference as a component of the subluxation complex.
• Explore the “corking” of cerebral fluid flow as related to the occiput-atlas subluxation.
• Define the prevalence, patterns, and predictors of chiropractic use by the US population.
• Empathize the importance of the first-class lever system of upright posture to the chiropractic profession.
• Establish the functional and physiological relationship between the brain and the cervical spine.
• Discuss the integrated physiology between inflammation, fibrosis, the Gate Theory, and chiropractic adjusting.
• Create a model of pain based upon the fibrosis of repair, motion, and the Gate Theory.
• Complete an interactive model of neuroimmunology using mechanoreceptors, the sympathetic nervous system, norepinephrine and neurological magnification.
• Complete an interactive exercise of spinal mechanoreceptor driven vestibular nuclei controls of somatic function and visceral function.
• Integrate the importance of constant v. non-constant thalamic summation/integration.

• Identify the relationship between an upper cervical - trigeminal cervical nucleus and headaches.
• Integrate headache, upper cervical spine, and the temporomandibular joint.
• Distinguish between the clinical management of compressive neuropathology v. supersensitivity nerve interference.
• Identify “red flags” associated with compressive neuropathology.
• Discuss the relationship between mechanoreceptors, the sympathetic nervous system, and neuroimmunology.
• Highlight the uniqueness of upper cervical spine mechanoreceptors and the vagus nerve.
• Describe mechanobiology and diseases of mechanotransduction.
• Explain connective tissue as a body-wide signaling network.
• Summarize some randomized controlled/clinical trials pertaining to chiropractic and/or manipulation care.
• Recall studies looking at the influence of chiropractic care on opioid use.
• Interpolate the importance of sagittal posture on pain and function.
• Examine the importance of sagittal posture on cognition.
• Integrate evolutionary biology, infection, and the existence of chiropractic subluxation.           
• Summarize studies showing the influence of joint adjusting on a variety of visceral syndromes.
• Detail the relationship between an infectious agent and host health.
• Recognize the basic details of neuroimmunology.

• Explain how beneficial commensal microbes support gastrointestinal health
• Describe the major components of the intestinal barrier
• Summarize the microbial composition of a typical stool sample
• Explain the role of comprehensive stool testing in assessing gastrointestinal health

• Recognize the three most common types of microbial dysbiosis
• Describe common factors that can reduce beneficial microbes and disrupt the intestinal barrier
• Assess pathogens and opportunistic microbes identified with comprehensive stool testing
• Discuss how the selection of microbial testing methodology may affect the identification of pathogens and opportunists
• Outline therapeutic approaches that address common dysbiosis types identified via comprehensive stool testing

• This course contains all courses with the educational objectives listed from Functional Medicine and Nutrition Virtual Classroom 201 through 210

• Describe the current epidemiologic trends in autoimmune incidence, morbidity and mortality.
• Associate the linkage between autoimmune disease prevalence and factors including the GI microbiota composition, food immune reactions, stealth infections, molecular mimicry, lack of early diverse antigen exposure, and other elements.
• Examine the available clinical laboratory testing related to autoimmune disease risk assessment, diagnosis, and clinical management, including qPCR molecular-based evaluation of the GI microbiota.
• Explain the difference between quantitative molecular testing (qPCR) versus next-generation sequencing of the GI microbiota in the support of clinical decision making.
• Appraise the available evidence-based integrative and complementary therapeutic interventions for autoimmune disorders.

• Describe the current common routes and mechanisms of toxic exposure for individuals living in the industrialized world.
• Associate the linkage between chronic diseases, including mitochondrial dysfunction, obesity, diabetes, Alzheimer’s disease, Parkinson’s disease, cancer and others with increased levels of exposure to various environmental and food toxins.
• Examine the available clinical laboratory testing related to toxic load and related disease risk assessment, diagnosis, and clinical management using various lifestyle and nutritional approaches.
• Explain the difference between the various methods to assess toxic burden and detoxification at the level of the individual in the support of clinical decision making.
• Appraise the available evidence-based integrative and complementary therapeutic interventions for lowering toxic load and improving detoxification function.

Hour 1

• Describe the general diagnostic criteria of Metabolic Syndrome and CVD.
• Demonstrate an understanding of the enhanced diagnostic criteria and the importance of investigating these potential earlier markers.
• Demystify the “Cholesterol and HDL hypothesis” and explain the compensation mechanisms of the body for this.
• Recognize the biometric and physical signs of the progressive nature of CVD, CHD and MetS.
• Investigate Lifestyle Modification Programs as the major intervention strategy for the reversal and stagnation of these comorbidities. 

• Describe the general dietary interventions of Metabolic Syndrome and CVD.
• Demonstrate an understanding of sodium/salt as it relates to CVD/HTN.
• Demystify the confusion of major supplements and foods as it relates to CVD/HTN. 
• Recognize the associations between insomnia and CVD, CHD and MetS.
• Investigate various peer reviewed studies and the outcomes of nutritional interventions.  

• Provide an understanding of the clinical applications of biochemical/metabolic evaluations to determine a patient’s hormonal status
• Explain the differences between various assessments of hormonal status
• Evaluate hormonal imbalances and disorders
• Evaluate nutrient needs in metabolic disorders Plan and monitor nutrient interventions to correct abnormalities found by the tests

• Describe the origin of mitochondria from an evolutionary perspective.
• Understand the critical role that the thyroid plays in metabolism and how this relates to healthy mitochondrial function.
• Explain how to test for mitochondrial function/dysfunction.
• Show how living in a thermos neutral modern society contributes to obesity.
• Recognize how antibiotics can damage mitochondria and how that can play a role in obesity.
• Give examples of toxins/drugs that can adversely affect mitochondria.

• Describe how common mitochondrial genetic problems are in the general population.
• Explain how mitochondria are needed to produce glutathione and why glutathione is needed for healthy mitochondria.
• Discover how oxidative stress can be both good and bad for the body.
• Discuss how mitochondrial dysfunction plays a key role in a variety of diseases ranging from Parkinson’s, Cancer, NASH, Alzheimer’s, Autism and Diabetes.
• Discover key ways to optimize mitochondrial function in patients.

• Describe the associations of micronutrient deficiencies as it relates mental health disorders.
• Demonstrate an understanding of major prescriptive medications and their negative influence on mental health disorders. 
• Explain the overlap of certain pathophysiological conditions and mental health disorders.
• Recognize the current lack of proper diagnosis of mental health disorder.

• Describe the associations of micronutrient and nutritional deficiencies as it relates mental health disorders.
• Demonstrate an understanding of the major biochemical pathways, their enzymes and nutritional elements as it relates to psychological issues.
• Explain the importance of fatty acids in mental health disorders.
• Recognize the current lack of proper nutritional interventions as it pertains to TBI, mTBI and PCS.

• Provide an understanding of the clinical applications of biochemical/metabolic evaluations to determine a patient’s status of nutrients, toxicants and cell regulators, and functional gastrointestinal status.
• Explain the differences between various assessments of element status
• Evaluate specific nutrient deficiency states
• Determine weaknesses in digestive, assimilative and intestinal microbiological status
• Plan and monitor nutrient interventions to correct abnormalities found by the tests