Hello Professionally Integrated, AOMSI does NOT even come into the equation in this area of the spine. This is a paper that the authors looked at ways to identify upper cervical instability. The paper that I helped author explains a lot more in terms of what is normal stability through different ranges of motion. Most of the instability in… Read More
Hello Professionally Integrated! AOMSI and 25-28% really doesn’t explain much about what “instability” does physiologically. Here is a paper where the authors looked at instability and how it can affect the spinal cord leading to upper extremity weakness. As a member of the site under the tab “instability” , we have lots of papers and information and webinars about… Read More
Hello Professionally Integrated. Here is a finite element study where the authors evaluated C2-C3 during “whiplash” simulation. During the evaluation they recorder many ligamentous areas of the spine and how they react, or fail during a “whiplash” mechanism. This is important for us to know as it will only help us understand and identify common injuries in crashes that in… Read More
Dear Professionally Integrated, Here is a video breakdown looking at “lumbar instability” and pain. This is another great paper showing why X-rays with movement are important and how abnormal movement is related to pain. The authors looked at sagittal instabilities and pain. Take a look below at what this paper discusses and see how what we do is clinically relevant… Read More
Hello professionally integrated, Here is a paper where the authors looked at patients who were diagnosed with “discogenic pain” and evaluated them with flexion extension lumbar x-rays to determine the likelihood of instability. This paper is great to explain how abnormal movement can lead to increased pain. The authors suggest this imaging should be done on patients with “nonspecific pain”… Read More
Hello Professionally Integrated, Knowing what position your patients head is in is important! Many studies show that a head turned can increase injury to the cervical spine in a MVC ( I posted this on this site). Here is a study that shows neck injuries greatly increase if the head is turned a little. In this paper they look at… Read More
Hello Professionally Integrated, So you diagnosed instability or AOMSI? Did discuss how that can lead to vascular changes of the spinal cord, the canal, and even compression of the nerves and central nervous system? Or do you just stick with an impairment that really means nothing to your patient HEALTHCARE? This study shows the importance of dynamic imaging and… Read More
Hello Gold and Premium Members of Professionally Integrated, Have you been asked by a patient, an attorney, or insurance company “How do you know the crash caused the instability?” As a member you know I go over this through many different avenues, but here is a paper that tested ligaments strength after a rear end impact. Be sure to educate… Read More
Hello Professionally Integrated, Here is a cool paper where the authors looked “misaligned” upper cervical vertebrae and they did surgery to correct it. As a Chiropractor I feel “misaligned” vertebrae are something that can be a problem like this paper shows but also possibly corrected by chiropractors. How many patients that are suffering are being overlooked and under diagnosed becasue… Read More
Hello PROFESSIONALLY INTEGRATED gold and premium members, Here is a great study that I break down for you to easily insert in your notes, to educate patients, make hand outs, as well as a video for you to watch and listen to as these authors describe how “whiplash” injuries from different impact vectors can lead to damage of the upper… Read More
Hello Professionally Integrated, AOMSI does NOT even come into the equation in this area of the spine. This is a paper that the authors looked at ways to identify upper cervical instability. The paper that I helped author explains a lot more in terms of what is normal stability through different ranges of motion. Most of the instability in… Read More
Hello Professionally Integrated! AOMSI and 25-28% really doesn’t explain much about what “instability” does physiologically. Here is a paper where the authors looked at instability and how it can affect the spinal cord leading to upper extremity weakness. As a member of the site under the tab “instability” , we have lots of papers and information and webinars about… Read More
Hello Professionally Integrated. Here is a finite element study where the authors evaluated C2-C3 during “whiplash” simulation. During the evaluation they recorder many ligamentous areas of the spine and how they react, or fail during a “whiplash” mechanism. This is important for us to know as it will only help us understand and identify common injuries in crashes that in… Read More
Dear Professionally Integrated, Here is a video breakdown looking at “lumbar instability” and pain. This is another great paper showing why X-rays with movement are important and how abnormal movement is related to pain. The authors looked at sagittal instabilities and pain. Take a look below at what this paper discusses and see how what we do is clinically relevant… Read More
Hello professionally integrated, Here is a paper where the authors looked at patients who were diagnosed with “discogenic pain” and evaluated them with flexion extension lumbar x-rays to determine the likelihood of instability. This paper is great to explain how abnormal movement can lead to increased pain. The authors suggest this imaging should be done on patients with “nonspecific pain”… Read More
Hello Professionally Integrated, So you diagnosed instability or AOMSI? Did discuss how that can lead to vascular changes of the spinal cord, the canal, and even compression of the nerves and central nervous system? Or do you just stick with an impairment that really means nothing to your patient HEALTHCARE? This study shows the importance of dynamic imaging and… Read More
Hello Gold and Premium Members of Professionally Integrated, Have you been asked by a patient, an attorney, or insurance company “How do you know the crash caused the instability?” As a member you know I go over this through many different avenues, but here is a paper that tested ligaments strength after a rear end impact. Be sure to educate… Read More
Hello Professionally Integrated, Here is a cool paper where the authors looked “misaligned” upper cervical vertebrae and they did surgery to correct it. As a Chiropractor I feel “misaligned” vertebrae are something that can be a problem like this paper shows but also possibly corrected by chiropractors. How many patients that are suffering are being overlooked and under diagnosed becasue… Read More
Hello PROFESSIONALLY INTEGRATED gold and premium members, Here is a great study that I break down for you to easily insert in your notes, to educate patients, make hand outs, as well as a video for you to watch and listen to as these authors describe how “whiplash” injuries from different impact vectors can lead to damage of the upper… Read More
Hello Professionally Integrated Members! Here is a paper where the authors look at C1 INJURY AND INSTABILITY. This is an injury that can be common in car crashes and is not “just whiplash” and will NOT just get better in a few weeks like many insurance companies suggest. These authors go over imaging as well as clinical findings and the… Read More
Discussion about the recent cervical instability research paper published by Dr. Evan Katz et al. Read more about the paper “Diagnostic Accuracy of Videofluoroscopy for Symptomatic Cervical Spine Injury Following Whiplash Trauma” here. This webinar recording includes a LIVE Q&A session with Dr. Evan Katz. Below are a few excerpts from the paper: A total of 196 subjects… Read More
Here is what I believe to be one of the most groundbreaking papers on spinal biomechanics comparing injured patients and noninjured patients. I am proud to be one of the authors of this paper where we evaluated 196 patients. Some had chronic pain after a crash, while others have never had neck pain that lasted more than a week in… Read More
Here is a FREE paper and video I breakdown so you can have this information for yourselves and to further educate your patients, as well as document this in your notes. This paper suggests that instability is about 2 mm in the cervical spine, which is less than 3.5 mm that has been used for a very long time. However,… Read More
Hello Professionally Integrated, Here is a paper I authored and had published in the peer reviewed journal ” The Journal Of Legal Nurse Consulting”. In this paper I discuss Digital motion X-ray and some of the findings it can detect. I discuss how a loss of the cervical curve is linked to crashes as well as pathologies, both short and… Read More