Introduction to Neurokinematics of Joint Manipulation: Pre-congress Workshop @ the 1st International Multidisciplinary Sports Medicine Summit

This comprehensive six-hour workshop, geared for chiropractors and physical therapists, will be held at the 1st International Multidisciplinary Sports Medicine Summit in Monterrey 2024 and will delve into the neurokinematics of joint manipulation. The objective is to provide attendees with an introductory understanding of sensory integration and the influences of ascending and descending pathways on local joint control and global bodily functions. Attendees will explore the intricate dynamics between the brain, receptors, and effectors, gaining insights into the central consequences of receptor integration and its impact on functional decompensation.

This workshop aims to develop participants' knowledge and skills to implement safe and effective joint manipulation techniques, particularly in solo practice scenarios during competition periods.

Hour 1

• Overview of sensory integration
• Ascending and descending influences on joint control
• Fundamental Dynamics Interaction between the brain, receptors, and effectors
• Central consequences of receptor integration

Hour 2

• Functional Decompensation
• Identifying and locating neurological decompensations
• Assessing the Functional Integrity of the Brainstem, Cerebellum, Frontal Lobe, and Thalamus
  • Two tests of the brainstem
  • Two tests of the cerebellum
  • Two tests of the frontal lobe
  • Physiological Blind Spot Mapping for Central cortical integration
• Receptors and Joint Manipulation
  • Direct and indirect receptors
  • Discussion: Are joints or muscles manipulated?
  • Stretching Techniques Fast vs. slow stretching (HVLA vs. LVHA)

Hour 3

• Cellular Metabolism and Rib Mechanics
  • Relationship and implications
  • Respiratory Mechanics
  • Assessing respiratory mechanics and impediments
  • Manipulation of ribs and respiratory tidal volume

Hours 4-5

• Spinal Manipulation Techniques
  • Cervical spine
  • Thoracic spine and rib articulations
  • Lumbar spine
  • Pelvis
  • Extremity Manipulations

Hour 6

• Safe and Effective Implementation
• Skill Acquisition and Technique Mastery
  • Maximizing skill acquisition in manipulation techniques of the spine and extremities
• Algorithm for Adjustment
  • Presenting a physical examination-based algorithm to guide adjustment areas and measure intervention outcomes