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In order to receive full CBP® accreditation for this course please complete the quiz at the end of the course. When you finish the last lesson the quiz will be available. Thank you!
This course provides an integrated education for the Doctor of Chiropractic in the science and art of full spine disorders. Detailed literature reviews covering the sagittal plane of the spine during pediatric development through age related change occurring in senior populations will be presented. Statistical correlations between each spinal region will be detailed so the Chiropractor understands how alterations in one region of the spine can influence regions above or below. A primary objective is to introduce the attendee to the anatomic variable of pelvic morphology (geometric alignment of the sacrum inside the ilia) and thoracic inlet morphology (geometric alignment of T1 relative to the sternum) and how variations and anomalies of these morphology measurements alter the sagittal plane alignment of the spine. Further, it will be explained how common anomalies such lumbo-sacral transitional vertebra, 4 lumbar vertebra, 6 lumbar vertebra influence the sagittal plane alignment of the spine. In the end, details of case management using these topics will be covered using a variety of case studies for a comprehensive picture of clinical application of this course material. A survey of research material will be reviewed supporting the utilization and efficacy of CBP technique treatment methods across a population of patients with abnormal spine conditions.
Learning Objectives:
- Analyze sagittal plane spinal alignment models by describing the biomechanical relationships between cervical lordosis, thoracic kyphosis, lumbar lordosis, sacral angle, and global sagittal balance.
- Interpret statistical correlations of spinal alignment variables using scatter plots and linear regression models to evaluate relationships among spinal regions and postural alignment.
- Identify and measure pelvic morphology parameters including pelvic incidence, pelvi-sacral angle, pelvic radius, and posterior tangent pelvic incidence angle.
- Evaluate how variations in pelvic morphology influence sagittal plane spinal alignment, including effects on sacral base angle, lumbar lordosis, thoracic kyphosis, cervical lordosis, and sagittal translation.
- Assess thoracic inlet morphology parameters and determine their relationship to T1 slope, cervical lordosis, thoracic kyphosis, and global sagittal balance.
- Differentiate common lumbar spinal anomalies such as lumbo-sacral transitional vertebrae, four-lumbar vertebra configurations, and six-lumbar vertebra configurations, and explain their influence on sagittal spinal alignment.
- Apply clinical decision-making strategies using CBP technique principles to develop case management approaches for patients with sagittal plane spinal abnormalities.
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You can start and stop the course at any time. The course is available in your account for 6 months. A quiz is provided at the end of the course with 25 questions, 75% score required. You have 5 attempts and 2 hours to complete the test.
Target Audience: Doctor of Chiropractic
Prerequisite: None
Disclosure: Dr. Deed Harrison is the President / CEO of Chiropractic BioPhysics® (CBP®)Technique & Seminars and is the President of CBP NonProfit, Inc. – a spinal research foundation.
Content disclosure: This course does not focus on any product or service.
COURSE OUTLINE
Hour 1 — Sagittal Plane Spinal Model Foundations
- Biomechanics of posture: rotations and translations of the head, thorax, and pelvis
- Harrison sagittal plane model of cervical lordosis, thoracic kyphosis, and lumbar lordosis
- Pediatric, adult, and geriatric alignment for sagittal spine curvatures
- Introduction to variables influencing sagittal alignment: posture, age, vertebral shape, pelvic morphology, sacral morphology, transitional vertebra (4 & 6 lumbar)
CE: Principles of Practice / NMS Diagnosis
Hour 2 — Statistical Analysis & Sagittal Correlations
- Statistical correlations using scatter plots and linear regression models
- Relationships between:
- Sacral angle
- Lumbar lordosis
- Thoracic kyphosis
- Cervical lordosis
- Sagittal translation/balance
- Clinical interpretation of regression models in spine alignment
CE: Principles of Practice / NMS Diagnosis
Hour 3 — Pelvic Morphology: Definition & Measurement
- Pelvic morphology defined: sacral geometry and sacrum-to-ilium relationship relative to hip axis
- Measurement methods:
- Angle of Pelvic Incidence (API)
- Pelvi-sacral angle
- PR-S1 pelvic radius method
- Posterior Tangent Pelvic Incidence Angle (PTPIA)
- Normative data sets and age-related changes
CE: Anatomy
Hour 4 — Pelvic Morphology Influence on Spine Alignment
- Correlation of pelvic morphology with:
- Sacral base angle
- Lumbar lordosis
- Sagittal translation/balance
- Thoracic kyphosis
- Cervical lordosis
- Linear regression equations to predict sagittal spine alignment in anomalous cases
CE: Diagnostic Testing
Hour 5 — Thoracic Inlet Morphology: Definition & Influence
- Thoracic inlet morphology defined:
- Thoracic Inlet Angle (TIA)
- Posterior Tangent Slope Index Angle (PTSIA)
- Influence and correlation to:
- T1 slope angle
- Cervical lordosis
- Sagittal translation/balance
- Thoracic kyphosis
CE: Diagnostic Testing
Hour 6 — Predictive Modeling & Integrated Case Analysis
- Combined use of pelvic and thoracic inlet morphology in predicting sagittal alignment
- Linear regression applications for complex/anomalous presentations
- Mock patient cases:
- Pelvic morphology influence
- Thoracic inlet influence
- Clinical interpretation and decision-making
CE: Diagnostic Testing
Hour 7 — Lumbar Spinal Anomalies
- Transitional vertebra (TLSV) defined
- 6-lumbar and 4-lumbar spine configurations
- Normative lordosis values for each condition
- Global vertical axis line (VAL) at S1 for sagittal balance and posture
- Clinical implications of structural anomalies
CE: Clinical Sciences / Diagnostic Testing
Hour 8 — Clinical Integration of Structural Findings
- Applying morphology and anomaly data to patient assessment
- Prioritizing spinal regions based on alignment findings
- Integrating:
- Pelvic morphology
- Thoracic inlet morphology
- Lumbar anomalies
- Case-based clinical reasoning
CE: Clinical Sciences / Diagnostic Testing
Hour 9 — CBP Technique & Case Management
- CBP technique application to sagittal plane correction
- Determining treatment order for:
- Regional vs. full spine subluxation patterns
- Pelvic Morphology (API) applied to treatment strategies and outcomes
- Case examples across varied patient presentations
CE: Technique – CBP
Doctor of Chiropractic CE Approvals: PACE – DC: (Approval ID: 42726) AK, CT, DC, ID, IN, IA, KS, ME, MD, MA, MI, MN, MO, MT, NE, NH, NJ, NY, NC, ND, OH, OR, PR, RI, SC, SD, TN, UT, VT, VA, VI, WA, WY, NS.
Course Instructor
