Join Dr. David Fletcher, DC, FRCCSS(C), Chief Clinical Officer of CLA as he explores the relationship between adaptability and neuro-functional scanning in a chiropractic setting using the Insight technology and COREscore. This presentation was part of the CLA affiliate track at Parker Vegas 2015, attended by several hundred DC's.

2. Looking backwards to move forward

3. Early instrumentation
pioneers the development of
NEURO-Spinal Models of
Subluxation and the use of
technologies to identify and
manage the subluxation

4. All Roads Lead Through the Nervous System

5. Motor and Autonomic reflexes are
measured for efficiency

6. Color bars show areas of altered control

7. Enter the pattern Graph:
Distribution and flow patterns

8. Next, the global stress response
comes into play with HRV

9. The Vagal Braking
mechanism comes alive!

10. Wellness has a new face!
A single number that
identifies a patient’s
Neuro- Efficiency Index
Finally, a way to interpret
and report outside of pain
that allows a patient to
understand and track their
progress

11. Why is the COREscore so powerful?
Neuro- Functional SPINAL responses
+
Lifestyle and Environmental Stress load
=
Limits of Wellness Reserve and Potential
reported as a score/100

12. Neural efficiency through the lens of
the Insight technology
• Why sEMG: Gravity is the never ending story
• An entire division of the NS is dedicated to handling
the effects of gravity as we navigate seated, standing
mobility and performance activities…
Position and Motion governance.

13. sEMG: Normal vs.
Exhaustion

14. Certainty in Reliability

15. All Roads Lead Through the
Nervous System

16. Structural Imbalance

17. From brain to body
and body to brain

18. Motor and Autonomic reflexes are
measured for efficiency

19. Nerve Interference and stress:
NeuralTherm pattern analysis

20. sEMG Tips: acquiring the scan
• Seated allows reproducible testing data
• Standing is an option when you use the pattern graph
• Dynamic sEMG is available as part of the Insight tech.
• Yellow bars turned on… what does it mean?
• Autoscan… great for new CA’s
• Sensor contact across belly of muscle and do not push
• What should tech CA’s tell patients as they scan them?
• Smart Handles: why we use them, replacement

21. Pulse Wave Profiler (HRV)
• Non-spinal test measuring the balance between
Parasympathetic and Sympathetic response
• Global view of ANS vs. local view of sympathetic
tone seen in Thermal
• Identifies state of adaptability of patient
• Can be a lagging indicator
• Looks at the “amount of reserve”

22. Pulse Wave Profiler (HRV)
• Looks at timing of inter-beat intervals
• Variability (bounded instability) is good
• Low, drifting HRV associated with heart disease,
aging and obesity
• Above the box, close to the line can indicate an
exceptionally trained athlete
• Uses chaos theory & non-linear mathematics to
interpret effects of stress on the nervous system

23. HRV: Basics of Interpretation
• All scans are interpreted using Symmetry and
Amplitude
• HRV is no different
• Symmetry = Balance Index
– (left or right of the line)
• Amplitude = Activity Index
– (how far up the line)
• Below the box: a significant health issue.
– (esp. poor if closer to bottom…morbidity shift)

24. Resiliency and Reserve: The GAP

25. A “Well Adjusted” Patient
Target is in the box and on the line.
This person’s activity score is 86; balance score is 97

26. 32
Neuroscience & Medicine, 2011, 2, 288-294
“In conclusion, in young children, insomnia symptoms and shorter
objective sleep duration are associated with lower HRV, higher HR, and
higher LF/HF ratio, indicative of a CAM disturbance in the direction of
sympathetic activation and lower parasympathetic modulation.”
Which means that kids who don’t sleep well need to be
adjusted. As do kids who can’t poop, kids who are
anxious, and kids who can’t focus as in ADHD.

27. Corescore the future
• The way we will be seen in the future …
“Spine + environmental & lifestyle stress load”
• Chiropractic will ALWAYS be associated with
the spinal neural dural CORE
• Forms the hub to keep the message on track
while inspiring and directing the patient
towards spinal function AND wellness
• Can continuously add in the other methods of
assesment ROM, Algo, Xray, table checks

28. Research
• You are part of the future within chiropractic
• Our data bases are being used to bring the
message forward
• We have patient engagement protocols as
they are part of the tipping point equation
• Mycorescore.com
• In8 minutes