8 Levels Quick Reference Guide - Z-Health University...a. ACM in Cb or PMRF Patterns b. aVOR c. lVOR...

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Mastering the 8 Levels Model Quick Reference Guide Receptors

1. History a. Peripheral Neuropathy b. Nerve Damage c. All Previous Orthopedic Injuries d. Surgical Sites e. Scars f. Tattoos g. Loves Compression Gear/Braces

2. Assessments a. Light Touch

i. Stroking ii. Skin Stretch

b. Deep Pressure i. Superficial Fascia ii. Deep Fascia

c. Low Hz Vibration d. High Hz Vibration e. Warm f. Cool g. Sharp/Dull

3. Drills a. Multiple or Prolonged Daily Application of “Missing” Sensation

i. Taping ii. Vibration iii. Warm/Cool iv. Compression Wrapping

4. Stacks a. Neuromechanics b. Contralateral Parietal Stimulus c. Contralateral Pons or Medulla Activation

i. Correlate with Cranial Nerve Tests


Peripheral Nerve

1. History a. Overstretch Injury b. Weakness c. Joint Instability d. Referred Pain

2. Assessments a. Receptor Tests b. Muscle Testing c. Pressure Checking Common Entrapment Locations

3. Drills

a. I-Phase Template Drills = Low Grade Neuromechanics b. Neuromechanics

i. Change Sequence ii. Change Driver iii. Tensioning iv. Sliding v. Slacking

4. Stacks a. Receptor-Based Stimulus

i. Vibration ii. Skin Stretch iii. Compression Bands

b. Ipsilateral Slacking with Contralateral Tension


Spinal Cord

1. History a. Bilateral Extremity Issues

i. Parasthesias ii. Weakness iii. Balance Problems iv. Grip Issues

b. Disc Injuries/Surgeries c. Visceral Issues d. mTBI e. Whiplash f. Seatbelt Trauma g. Stenosis

2. Assessments

a. Observation - Skin Issues in Dermatomal Patterns b. Bilateral Muscle Testing c. Bilateral Receptor Testing d. Spinal Segment Pressure Checking

3. Drills a. Spinal Mobility b. Cranial Mobility c. Respiration d. Spinal Cord Neuromechanics

4. Stacks a. Vertical Eye Movements b. Vertical VOR c. Cranial Nerve Stimulation d. Respiratory Drills


Cerebellum

1. History a. Clumsy b. Motion Sickness c. Balance Problems d. Terminal Tremors e. Trip Often f. Cognitive Dysfunction g. Alcohol Worsens Issues h. Ipsilateral Injury & Joint

Dysfunction i. Scoliosis

2. Assessments a. Gait b. Static Posture c. Romberg’s d. RAPS

i. Proximal Joints ii. Distal Joints

e. Finger-Nose i. Accuracy ii. Balance iii. Coordination

f. Finger-Nose-Finger g. Heel To Shin h. Toe Targeting i. Saccades j. Smooth Pursuits

3. Drills a. Midline

i. Spinal Lengthening ii. Spinal Extension iii. Spine/Pelvis Mobility iv. Hip Extension/Bridging v. ACM Ipsilateral Extensors

b. Intermediate i. Proximal Joint Complex, Non-Linear Drills

c. Lateral i. Distal Joint Complex, Non-Linear Drills ii. Visualize Movements

4. Stacks a. Band Stabilizations b. aVOR c. lVOR d. Aftershokz e. Metronome f. Smooth Pursuits g. Saccades


Brainstem

1. History a. High Blood Pressure b. High Pulse Rate c. Sweat More Ipsilaterally d. Cold Hands/Feet -

Raynaud’s e. Ipsilateral Injury History f. Ipsilateral Pain History g. Decreased Gut Motility h. Scoliosis i. Light and Sound

Sensitive 2. Assessments

a. Gait b. Static Posture c. Blood Pressure d. Perfusion Index e. Pupillary Light Reflex f. Mesencephalon

i. Cranial Nerve 3 1. Eye Movements 2. Eyelid Droop 3. Near/Far

ii. Cranial Nerve 4 1. Gaze Stabilization/Smooth Pursuits Down & In

g. Pons i. Cranial Nerve 5

1. Sensation of Face 2. Pressure Check Teeth 3. Tongue Sensation - Anterior 2/3rds 4. Muscles of Mastication 5. Smelling Ammonia

ii. Cranial Nerve 6 1. Lateral Eye Movements 2. Distance Vision/Divergence Ability

iii. Cranial Nerve 7 1. Facial Expressions 2. Taste Anterior 2/3rds of Tongue 3. Hearing 4. Skin Sensation of Ear

iv. Cranial Nerve 8 1. Vestibular Tests

a. aVOR b. lVOR

2. Hearing h. Medulla

i. Cranial Nerve 9 1. Sensation Posterior 1/3rd of Tongue

ii. Cranial Nerve 10 1. Skin Sensation Back of Ear 2. Gargling 3. Humming 4. Thorax and Visceral Pressure Checking - Basic 9


iii. Cranial Nerve 11

1. Muscle Testing a. SCM b. Upper Trapezius

iv. Cranial Nerve 12 1. Tongue Position

3. Drills

a. Activation i. Near/Far Drills ii. Gaze Stabilization iii. Smooth Pursuits iv. aVOR v. lVOR vi. Aftershokz vii. Listening to Music viii. Light Stimulation ix. Specific Cranial Nerve Activations

b. Inhibition i. Usually Mesencephalon ii. Earplugs iii. Dark Glasses iv. Eye Patch v. Colored Lenses

1. Red 2. Green 3. Blue

vi. Hemifield Glasses vii. Exhalation Focused Respiration

4. Stacks a. Ipsilateral Cortical Activations b. Ipsilateral “Healthy” Cranial Nerve Activations in Close Proximity c. Contralateral Cortex Inhibition


Thalamus

1. History a. Chronic Pain b. Mood Swings c. Contralateral Burning or Aching Pain d. Loss of Multiple Contralateral Sensations e. Movement Tics f. Motor Learning Problems g. Slow Movements h. Difficulty Initiating Movements i. Tremors at Rest j. Cramping of Hands & Feet

2. Assessments

a. Sensation Testing b. Bone Rhythm

3. Drills

a. Education (TNE) b. Contralateral Sensory Stimulation c. Contralateral and/or Ipsilateral Facial & Oral Sensation

4. Stacks

a. Contralateral Bone Rhythm & Sensory Stim b. Contralateral BR/Extremity/Facial Sensory Stim


Insular Cortex

1. History a. Irritable Bowel

Syndrome b. Chronic GERD c. Eating Disorders d. Anxiety e. Motion Sickness f. Depression g. PTSD h. Lack of Body Ownership i. Poor Cardiac and

Respiratory Response to Exercise

j. Difficulty Judging Degree of Pain

k. Chronic Stomach Distension/Bloating

l. Unable to Understand “Feelings”

m. Inappropriate Crying/Laughing n. Vertigo/Vestibular Disturbances o. Awareness of Heartbeat p. Swallowing Dysfunction q. Chronic Immune System Issues r. ADHD s. Pelvic Floor Dysfunction

2. Assessments a. aVOR b. lVOR c. Anti-Saccades d. Remember Saccades e. Thorax and Visceral Pressure Checking f. Functional Inhale/Exhale g. High/Low Breathing h. Air Hunger Drills i. Pelvic Floor Modified Kegels j. Tongue –Basic 12

3. Drills a. ACM in Cb or PMRF Patterns b. aVOR c. lVOR d. Anti-Saccades e. Remember Saccades f. Thorax and Visceral Taping g. Functional Inhale/Exhale h. Diaphragm Stretch 1 & 2 i. Stairstep Breathing j. Pelvic Floor Modified Kegels k. Tongue –Basic 12

4. Stacks a. Aftershokz for Otoliths b. Z Vibe for Tongue/Teeth Sensation c. Bilateral Complex Movements

Insula


Cortex – Frontal Lobe

1. History a. Difficult with Focus and Attention b. ADHD c. Poor Modulation of Emotions d. History of Depression e. Difficulty Predicting Future Consequences f. Poor Movement Control Due to Core Instability g. Bladder Control Issues h. Difficulty Reading i. Low Motivation j. Difficulty Following Rhythm k. Poor Manual Dexterity (Hands/Fingers) l. Decreased Affect

2. Assessments a. Saccades b. Anti-Saccades c. Rhythmic Saccades d. Finger Tapping e. Toe Tapping f. Arm Swing in Gait (Contralateral)

3. Drills a. Identify Smells b. Contralateral Cb Drills c. Saccades d. Anti-Saccades e. OPK Tape f. Rhythmic Mobility g. Stroop Test h. Memory Drills/Sequencing

4. Stacks a. Dual-Tasking Gait or Drills b. Dual-Tasking Infinity Walk


Cortex – Parietal Lobe

1. History a. Contralateral Sensory Loss b. Mild Hemi-Neglect (Run Into Things Repeatedly) c. Speech Difficulties d. Dyslexia e. Difficulty Understanding Language

2. Assessments a. Graphesthesia b. Tactile Mapping c. Digit Span d. Two Point Discrimination

3. Drills a. Contralateral Inferior Quadrant Light Stimulus b. Contralateral Sensory Stimulation c. Ipsilateral Smooth Pursuits d. Auditory Mapping e. Tactile Mapping f. Visual Targeting Drills

4. Stacks a. Contralateral Sensory Stim w Contra Light Stimulus b. Ipsi Smooth Pursuits with Contralateral Sensory Stim


Cortex – Temporal Lobe

1. History a. Deficits in Auditory Discrimination b. Avoids Confusing Sound Environments c. Tinnitus d. Long Term Memory Issues e. Difficulty Recognizing Objects, Faces and Scenes f. Hearing Loss g. Visual/Vestibular Mismatch (Motion Sickness) h. Epilepsy

2. Assessments a. Olfactory Perception b. Long Term Memory Questions c. Sequencing d. Infinity Walk

3. Drills a. Olfactory Drills b. Sequencing c. Infinity Walks d. aVOR e. lVOR f. Aftershokz

4. Stacks a. Ipsilateral Olfactory with aVOR b. Ipsilateral Olfactory with Aftershokz c. Aftershokz with Infinity Walks


Cortex – Occipital Lobe

1. History a. Visual Clarity b. Color Discrimination c. Movement Perception d. Visuospatial Processing

2. Assessments a. Visual Fields b. Acuity Testing c. Near/Far

3. Drills a. Peripheral Vision Drills b. Infinity Walk c. Letterball d. Strobe Goggles e. Colored Lenses f. Hand-Eye g. Foot-Eye h. Multi-Size Font i. Ipsilateral Vertical Eye Movements

4. Stacks a. Ipsilateral OPK wit Peripheral Vision b. Strobe Goggles with Infinity Walks c. Colored Lenses with Hand/Eye d. Multisize Font Chart with Peripheral Vision

8 Levels Quick Reference Guide - Z-Health University...a. ACM in Cb or PMRF Patterns b. aVOR c. lVOR...

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Transcript of 8 Levels Quick Reference Guide - Z-Health University...a. ACM in Cb or PMRF Patterns b. aVOR c. lVOR...