Teaching Video #3

One of the main tenets of functional neurology is that centerline structures relate to centerline structures. Similarly, midline structures relate to midline structures, and lateral structures relate to lateral structures. The point is that there is a hierarchical relationship in neurology that suggests that structures that are wired together fire together. This video (featuring Dr. Cherene) teaches how using manual muscle testing as functional neurology can improve structural balance and overall performance.

Intro & Questions by Dr. Michael Allen

Author: What Your Brain Might Say if It Could Speak, and, Receptor Based
Solutions; Functional Neurology Every Doctor Should Know
President: Allen Chiropractic, PC
Founder: HealthBuilderS(r) Clinical Mastermind Group

Questions

 

  1. Romberg test is used to evaluate
  2. Vestibular disease
  3. Posterior columns
  4. Cerebellar disease
  5. Balance issues

 

  1. The heel -to-toe test can uncover
    1. Balance issues
    2. Foot problems
    3. Lower extremity dysfunction
    4. All the above

 

  1. A breakdown of fast alternating hand movements often indicate
    1. Cervical nerve root problems
    2. Coordination issues
    3. Upper motor neuron lesions
    4. All the above

 

  1. The finger-to-nose test evaluates
    1. The condition of the elbow joint
    2. Upper extremity strength
    3. Coordinated upper extremity movements
    4. None of the above

 

  1. Convergence testing assesses
    1. Extraocular muscle coordination
    2. Each eye individually
    3. Semicircular canal stability
    4. All the above

 

  1. The tracking abilities of the eyes indicates
  2. Brain function
  3. The patient’s level of consciousness
  4. Vestibular stability
  5. None of the above

 

 

  1. A muscle testing exam evaluates the
    1. Facilitation of the tested muscle or muscles
    2. Inhibition of the tested muscle or muscles
    3. Coordination of the involved muscle or muscles
    4. All the above

 

  1. During a muscle test, making a fist with one hand or the other indicates
    1. Cortical integrity
    2. Ipsilateral cerebellar integrity
    3. Coordination of each side of the brain
    4. None of the above

 

  1. Relative to a specific muscle test, gapping the TMJ
    1. May cause facilitation of the tested muscle
    2. May cause inhibition of the tested muscle
    3. May indicate a jaw involvement
    4. All the above

 

  • During a balance test, the tendency to fall toward the side of involvement may indicate
    1. A cortical lesion
    2. A cerebellar lesion
    3. A spinal involvement
    4. None of the above

 

  • The left cerebellum sends afferent signals to the
    1. Ipsilateral red nucleus
    2. Contralateral red nucleus
    3. Ipsilateral thalamus
    4. Ipsilateral cortex

 

  • Olfaction from one nostril stimulates
    1. The ipsilateral cortex
    2. The contralateral cortex
    3. The ipsilateral cerebellum
    4. All the above

 

  • Which of the following is not related to olfaction?
    1. Hypothalamus
    2. Hippocampus
    3. Reticular formation
    4. Cerebellum

 

  • Stress can be caused by which of the following?
    1. Toxicity
    2. Blood sugar spikes
    3. A hectic lifestyle
    4. All the above

 

  • One of the great contributors to toxicity is
    1. Plastics and their chemical composition
    2. Agricultural sprays
    3. COVID-19 aerosols
    4. All the above

 

  • Toxicity is related to diet. Which of the following is not on the list of toxins?
    1. Green leafy vegetables
    2. Wheat, corn, and soy
    3. Dairy and eggs
    4. Fish and shellfish

 

  • The amplitude and velocity of a structural manipulation or chiropractic adjustment
    1. Changes with every patient
    2. Should be consistent to benefit each patient
    3. Should always be very gentle
    4. Should always be vigorous to discharge as much input as possible

 

  • As far as coordination is concerned, a properly delivered chiropractic treatment can help the patient improve their
    1. Coordination
    2. Breathing
    3. Energy level
    4. All the above

 

  • Balance is an indication of brain function
    1. The body informs the brain
    2. The brain informs the body
    3. This statement is false. Balance has noting to do with brain function
    4. Both A and B

 

  • Using a tuning fork on various areas evaluates how the brain
    1. Perceives vibration from the same side of the body
    2. Perceives vibration from the opposite side of the body
    3. Evaluates the quality of receptor input
    4. All the above

 

  • With the patient supine, turning the head to one side should cause
    1. Facilitation of flexors ipsilaterally
    2. Facilitation of flexors contralaterally
    3. No change in flexor tone
    4. Head turn is not related to flexor tone

 

  • Foot movement gives feedback to the brain
    1. With every step
    2. Only when there is a foot problem
    3. Only when the eyes are open
    4. Foot movement has nothing to do with brain function
  • When testing the Galant reflex
    1. Inhibition of the contralateral hamstrings is normal
    2. Facilitation of the ipsilateral hamstrings is normal
    3. Inhibition of the ipsilateral hamstrings is normal
    4. The Galant reflex disappears after about 2 years of age

 

  • When testing the upper Galant reflex
    1. Inhibition of the ipsilateral hamstrings is normal
    2. Inhibition of the contralateral hamstrings is normal
    3. Facilitation of the contralateral hamstrings is normal
    4. The Galant reflex should not persist past 2 years of age

 

  • Patellar reflex stimulation should cause
    1. Facilitation of the rectus femoris ipsilaterally
    2. Facilitation of the rectus femoris contralaterally
    3. Inhibition of the rectus femoris ipsilaterally
    4. All the above

 

  • With the patient supine, turning the head to one side should cause
    1. Inhibition of a flexor muscle ipsilaterally
    2. Facilitation of an extensor muscle contralaterally
    3. Facilitation of an extensor muscle ipsilaterally
    4. Turning the head to one side does not affect flexion or extension

 

  • After stimulation of the flexor withdrawal reflex
    1. Stroking the sole of the foot has nothing to do with the rectus femoris
    2. The ipsilateral rectus femoris should facilitate
    3. The ipsilateral rectus femoris should inhibit
    4. The contralateral rectus femoris should facilitate

 

  • Stroking the palm of the hand with a sharp object should cause
    1. Stroking the palm of the hand has nothing to do with the rectus femoris
    2. Facilitation of the ipsilateral rectus femoris
    3. Facilitation of the contralateral rectus femoris
    4. Inhibition of the contralateral rectus femoris

 

Teaching Video #3B

This video (featuring several patients) teaches manual muscle testing and primitive reflexes, balance, vibration

 

  1. Chiropractic treatment can improve
    1. Eye-hand coordination
    2. Timing and performance
    3. Balance
    4. All the above

 

 

 

  1. Chiropractors are decreasing the sensitivity of the nervous system to
    1. Internal stimuli
    2. External stimuli
    3. De-stress patients
    4. All the above

 

  1. When muscle testing the supine patient
    1. All muscles should be generally facilitated
    2. Some muscles may normally be facilitated while others are inhibited
    3. You should always start from distal to proximal
    4. All the above

 

  1. When addressing the supine patient whose head is turned to one side
    1. Some muscles facilitate while others inhibit
    2. All muscles on that side should facilitate
    3. All muscles on the contralateral muscles should inhibit
    4. Turning the head has no bearing on muscle performance

 

  1. When turning the head to either side
    1. All muscles should facilitate
    2. All muscles should inhibit
    3. Some muscles facilitate while others inhibit in a predictable manner
    4. All the above

 

  1. When oppositional muscles facilitate simultaneously
    1. It leads to increased coordination
    2. Improved muscle timing
    3. It leads to decreased coordination
    4. Helps to stabilize the involved joint(s)

 

  1. According to Usker Naqvi et al, muscles are generally graded on a scale of 0-5. Most people’s muscles are in which range?
    1. 0-2
    2. 3-4
    3. Always in the 5 range
    4. The 5 range is seen least often

 

  1. Any bilateral muscle inhibition indicates
    1. The need for a particular nutrient
    2. That the problem is structural
    3. That the issue is related to muscle strain
    4. All the above

 

  1. “Normal healthy muscles”
    1. May not facilitate properly
    2. Can have an issue that impedes their performance
    3. Their condition is probably not the result of some disease
    4. All the above
  • Mobilizing a joint and subsequently delivering a pinch to any area followed by global muscle weakness indicates
    1. That the person is probably not wearing green
    2. The mobilized joint is probably not ready to be adjusted
    3. A profound instability in the joint that was mobilized
    4. All the above

 

  • “Metabolic capacity” is
    1. The patient’s ability to receive the delivered therapy
    2. The ability of neuronal structures to produce ATP
    3. The inherent ability to recover from stimulation
    4. All the above

 

  1. When metabolic capacity is exceeded
    1. The neuron produces glutamate into the surrounding tissues
    2. Glutamate stimulates NMDA receptors that can be detrimental to the patient’s health
    3. The patient’s nervous system will fatigue, and the patient may feel spacy and dizzy
    4. All the above

 

  • Stimulating the sole of the foot with a sharp object to stimulate the flexor withdrawal response, the contralateral gluteus medius should be
    1. Conditionally inhibited
    2. Unresponsive
    3. Conditionally facilitated
    4. None of the above
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