Carrick Institute

Clinical Neuroscience Program


The Future of Healthcare is Waiting for You.

There is no better time than now to join what is becoming the future of healthcare. The Carrick Institute’s CNS program is designed to educate clinicians to work towards mastery in the application of Clinical Neuroscience in the health and human performance environments.

It is now recognized how important the nervous system is in controlling all aspects of health and performance. The clinician who is able to create an individualized neurophysiological approach for their patients will become the healthcare provider of the future.

The Carrick Institute CNS education program takes a novel approach to clinical applications of neuroscience. Our clinical scholars learn how to integrate evidence-based concepts into a patient based paradigm of healthcare. Utilizing a contemporary educational approach to problem-based learning, our CNS program is central to mastering the skills of clinical neuroscience and applying them to human function.

Explore the Breadth, Depth and Application of Clinical Neuroscience

The clinical neuroscience program (CNS) is a comprehensive, evidence-based series of modules which come together to teach the breadth, depth, and application of clinical neuroscience.

What is Breadth? Throughout the CNS program, scholars will be taught on subject material that is common to all healthcare professionals and needed for the diagnosis and recognition of neurological dysfunction. This includes the neuroanatomy, the physiology and the pathology of the nervous system and related systems.

What is Depth? Building upon the breadth of neuroscience, the depth of the CNS program allows practitioners clarity into the clinical thought process and neurophysiology as it relates to the scholar’s specific profession. Our programs are taught at a depth that allows clinicians to be more specific in the assessment, diagnosis, integration, and recognition of the various systems that influence disorders of humankind.

What is Application?: Building upon the breadth and depth of the field of clinical neuroscience, the CNS program dives deep into the physical and functional neurorehabilitation strategies that are specific to the practitioner when applying a functional neurology paradigm of care.

Breadth, depth and application is what allows for clinical mastery.

The clinician of the future will develop individualized neurophysiological approaches of care for their patients.

Who Can Attend

This program is for those who desire to expand their knowledge and work towards clinical excellence in their perspective fields.

Scholars who typically attend our programs include: MD, DC, DO, PT, DPT, LAc, ATCs, RN, NP, OT, strength coaches, and personal trainers. If you have any questions about your eligibility for our program, feel free to contact us.

Participants are solely responsible for ensuring that they remain within the scope of practice defined by the legislation governing their license.

15-Hour Modules Delivered Onsite, LiveStream, or Online Self-Paced Learning

The information is presented in 15-hour modules and is available on-site, via internet live-stream and online self-paced learning. Each module has a combination of a didactic lecture as well as hands-on applications to allow for immediate integration into your model of care.

High Pass Rates on Diplomate & Fellowship Examinations

This program is designed to aid scholars in the preparation of passing their neurology fellowship and diplomate board examinations. Carrick Institute scholars who have completed the Clinical Neuroscience Program have demonstrated tremendous success on these examinations. To learn more about these examinations, visit ACFN.org (cross-disciplinary) or ACNB.org (chiropractic).

Scholars Enrolled in the CNS Program Receive:

  • 2 days of training via onsite, LiveStream or online self-paced learning
  • 15 neurology hours per module
  • Eligibility for Neurology Fellowship and Diplomate Examinations after completion of 300 hours of study
  • LIFETIME access to the digital recording of the class
  • Re-attendance for life – Retake the class on-site, via livestream or via online, self-paced learning as many times as you’d like for attendance hours
  • 3 months of unlimited access to Medline upon completion of the module

Tuition

On-Site and LiveStream:

Early-Bird (register 60 days in advance): $499 per module
General Tuition: $599 per module

On-demand: $599 per module

Prepayment Option$8,980 for 20 modules

The Carrick Institute believes in rewarding those committed to their education. Save $3,000 by prepaying for 20 modules (300 neurology hours) in the CNS program.

“What an amazing program. This program filled in all the missing questions I had about what techniques to use and how to use them, when to use them and much more. I am so much better of a chiropractor thanks to this program. I am helping more people with the knowledge I have gained and clinical skills and getting more referrals for not just other health care providers but chiropractors as well. L. O. V. E. this program”

-Dr. Matt Thomas

“Professionalism, integrity, the very best there is in Functional Neurology!”

-Dr. Lene Fich

“Perhaps the best program on planet earth.”

-Dr. Kenneth Cyr

“Six years into practice, and I still felt like there were so many unanswered questions about why I could help some patients more than others, why chiropractic would “work” for them and not for others. After going through my first five modules, and with a lot of support from Dr. Garcia, I am seeing more clearly how I can more regularly produce the “miracle” patients reliably, instead of popping and praying. Well worth the shock of going back to school!”

-Dr. Seth LaFlamme

THE CNS CURRICULUM

Advanced components of neuronal structure and activity will be reviewed with emphasis on the relationship between environmental potentials and their effects on the central nervous system. Clinical applications of the breadth and depth of information will be emphasized.

Emphasis will be placed on the structure and function of the motor system in relationship to receptor activation. The relationship between brain/muscle spindle sensitivity/gain and muscle tone will be explored. Methodology concerning brain-based activation of the neuromuscular system will be presented.

Structure and function of the peripheral nervous system will be reviewed with emphasis on the clinical syndromes most commonly associated with lesions in the system. The central consequences of such lesions will be discussed in relation to neuronal function thus developing new methodologies of diagnosis and treatment.

A detailed review of the structure and function of the spinal cord with an emphasis on clinical syndromes. Also to be presented is a structured methodology to differentiate between various clinical syndromes directly and or indirectly involving the spinal cord. Applications in the treatment of the spinal cord injured patient will be explored.

Review of the structure and function of spinal cord reflexes from monosynaptic to cross-cord reflexes. Clinical applications will we emphasized in relation to the use of modalities in the treatment of central and peripheral-based disorders of muscle tone.

Emphasis will be placed on the structure and function of the ANS in relationship to respiratory, cardiovascular, gastrointestinal, and genitourinary function and pathology. Autonomic concomitants associated with central and peripheral lesions will be reviewed. A clinical methodology involving diagnosis and treatment of neurological dysfunction of the ANS will be reviewed.

Review of the major afferent and efferent projections of the cerebellum as well as the central/peripheral consequences of cerebellar pathology. The relationship of labyrinthine integration to ocular movement will be discussed in detail with emphasis on its clinical application.

Review of the internal and supportive structures of the brain with emphasis placed on the major afferent and efferent projections associated with brain activity. Lesions of the supportive structures of the brain and the clinical methodology used in determining brain vascular integrity will be discussed. Applications specific to brain-based treatments will be explored in detail.

A complete review of the structure and function of the cranial nerves with emphasis on their clinical syndromes. Applications and procedures specific to this area of the nervous system will be covered in detail both didactically and practically.

 

Review the basic functions and structures associated with the frontal, parietal, temporal and occipital lobes. A methodology involving the use of optokinetic stimulations and other brain-based diagnostics and therapeutics will be reviewed.

 

Presentation of a structured format in approaching the neurological examination. Emphasis will be placed on reviewing the most common syndromes one may encounter during the practical portion of the exam as well as methodology to understand and apply non-Cartesian logic.

 

The major sensory pathways will be discussed specific to their structure and function. Central processing of sensory information will be reviewed in relationship to thalamic and cortical integration. Disorders of the sensorium will be reviewed and methodology introduced to aid in differentiating these disorders from central and peripheral origins. Applications specific to the treatment of the sensorium will be explored.

Pain generating mechanisms will be reviewed from the receptor to central processing. Central mechanisms for pain inhibition and facilitation will be reviewed with emphasis placed on the clinical syndromes associated with pain integration. Methodology specific to chiropractic modalities will be reviewed as well.

 

The most common syndromes involving head pain from migraines to trigeminal neuralgia will be reviewed. Afferent pain pathways from the face will be reviewed in regards to their structure and function. Applications specific to the facial pain sufferer will be presented.

 

Discussion of the structure and function of the major volitional and non-volitional motor pathways. The function of the basal ganglia, cerebral cortex, cerebellum, brainstem, and spinal cord will be discussed in relation to the human motor system. Applications specific to the diagnosis and treatment of both central and peripheral pathology will be covered.

 

Presentation of applications specific to the disorders of the human nervous system. The candidate will learn how to apply advanced applications specific to all areas of the nervous system studied in the Graduate School Program of Clinical Neurology. These advanced modules will be based upon practicums and patient-based paradigms.

 

Presentation of applications specific to the disorders of the human nervous system. The candidate will learn how to apply advanced applications specific to all areas of the nervous system studied in the Graduate School Program of Clinical Neurology. These advanced modules will be based upon practicums and patient-based paradigms.

 

Presentation of applications specific to the disorders of the human nervous system. The candidate will learn how to apply advanced applications specific to all areas of the nervous system studied in the Graduate School Program of Clinical Neurology. These advanced modules will be based upon practicums and patient-based paradigms.

 

Presentation of applications specific to the disorders of the human nervous system. The candidate will learn how to apply advanced applications specific to all areas of the nervous system studied in the Graduate School Program of Clinical Neurology. These advanced modules will be based upon practicums and patient-based paradigms.

 

Presentation of applications specific to the disorders of the human nervous system. The candidate will learn how to apply advanced applications specific to all areas of the nervous system studied in the Graduate School Program of Clinical Neurology. These advanced modules will be based upon practicums and patient-based paradigms.

 

Presentation of applications specific to the disorders of the human nervous system. The candidate will learn how to apply advanced applications specific to all areas of the nervous system studied in the Graduate School Program of Clinical Neurology. These advanced modules will be based upon practicums and patient-based paradigms.

 

This program of study is central to the hands-on adjusting of joints without the use of instrumentation or anesthesia. Our program is designed to promote maximum skill acquisition in adjusting by the Chiropractor. The participant will be immersed in practical application learning scenarios based upon a neurological model of health care.

*This module is 8 credit hours*

This program focuses on some practical and effective ways of applying Neurology for the practicing clinician.

This module features:

  • Learn about Clinical Neuroscience, its foundational concepts and why it will transform your practice.
  • Learn assessments and tests to get insight into a patient’s neurological presentation.
  • Case-based learning by reviewing Dr. Carrick’s patient videos demonstrating how he reached his diagnosis and his treatment approach.
  • See functional neurology clinical applications that you will be able to apply with your patients.

In embryology and physiology of the nervous system, you will learn the pertinent anatomy, physiology, and pathophysiology of the neuron as well the embryological development of the nervous system. You will learn techniques to allow you to appropriately assess and diagnosis the common conditions related to embryological development and neuronal stability. Clinical applications will be discussed for patients with these conditions. This course provides the foundational framework for the use of manual and brain-based therapies in the treatment of neurological disease.

This exciting module begins by focusing on the concepts in embryological development of the peripheral and central nervous systems. Emphasis will be placed on discussing the pros and cons of both the columnar and prosomeric models of cortical organization.  Physiological function of nerves will be reviewed with an emphasis on the clinical scenarios seen with metabolic deregulation. The influence of early sensory input to the development of thalamo cortical projections preserved throughout adulthood will be discussed in relationship to the effects of sensory deprivation on neurological integrity through out life.  This module provides learners with the foundation needed for ongoing studies in our Clinical Neuroscience series.

 

Human movement is critical for survival.  In this module we discuss the building blocks of the neuromuscular system by reviewing in detail muscular development and structure.  We further discuss how muscles communicate with the CNS to provide a steady state of feedback allowing for fluid movement control.  The most common primary myopathies and will be reviewed along with the most common neuromuscular disorders.       

In this module you will learn pertinent anatomy, physiology, and pathophysiology as related to the neuromuscular system.  You will learn the appropriate assessments as well as the information needed to make an appropriate diagnosis for the most common conditions related to the function of the neuromuscular system. A neurological and physical medicine approach to supporting patients with these conditions will be presented.

 

Proper function of the peripheral nervous system (PNS) is critical to optimum human expression.   This module reviews the clinically important structural layout of the PNS and discusses the most common clinical scenarios affecting the peripheral nervous system.  Topics range for simple compressive mono-neuropathies to more complex metabolic and inflammatory conditions.   Diagnostic and treatment protocols with be emphasized throughout.

The spinal cord is the main conduit that connects the brain to the rest of the body.  Being encased within the vertebral column can act as a double edge sword. On one hand it provides protection and on the other hand it can expose the spinal cord to damage through a myriad of degenerative and traumatic conditions.  This module we review the structure/function of the spinal cord and those degenerative, traumatic, inflammatory, and vascular conditions that impair its function. 

The brain being encased within the bony cranium as surrounded by various structures that protect and support its function.  This module discusses those structures ranging from the skull sutures, meninges, vascular system, CSF, and supportive glial cells. Clinical disorders of these structures will be discussed with an emphasis on diagnostic and treatment applications.

Broca was first to describe the existence of a “great cerebral system” (Broca1) that encircled the limbus (or edge) of the hemisphere and thus, defined this area as the limbic lobe.  From that time forward the lobular sequentialization of the brain has been commonly used to define its structure.  In this module we explore each lobe of the brain focusing on structure, function, and the common clinical condition seen with each lobe’s dysfunction. 

Leonardo da Vinci while making wax castings of the human brain  back in 1504 was the first to and coin the term “cerebellum” (Latin for “little brain”) after identifying two small brain hemispheres tucked neatly under the relatively humongous left-right hemispheres of the “cerebrum” (Latin for “brain”).  This module explores the integrated structure and function of the cerebellum from its classical view in coordinating movement to its more progressive functional role in higher cognitive processing. Common clinical disorders will be discussed emphasizing diagnostic and treatment applications.

12 pairs of cranial nerves act and the final common pathways that allow direct access of the brain to its environment while allowing the brain direct control of systems vital to its survival. This module reviews the structure and function of each of the cranial nerves focusing on diagnostic testing and interpretations.  Common clinical entities will be discussed both from a diagnostic and management point of view.

The autonomic nervous system (ANS), formerly known as the vegetative nervous system, is a division of the nervous system that supplies smooth muscle and glands, and as a result influences the function of internal organs. Called the ANS for its unconscious regulation bodily functions it is critical in delivering fuel and nutrients throughout the nervous system.  This module discusses the central and peripheral components that make up the ANS and how breakdown in these systems lead to the development of various dysautonomias. Diagnostic, examination, and treatment applications will be explored when appropriate.

The vestibular system is one of the leading contributors to one’s sense of balance and spatial orientation for the purpose of coordinating movement with balance. It is responsible for providing our brain with information about motion, head position, and spatial orientation. This module reviews in detail the structural components, central functional connectivity of the vestibular system. Assessment and management of the most common vestibular disorders will be discussed with emphasis focusing on non-pharmaceutical strategies.

The oculomotor system is that part of the CNS, which functions mainly in maintaining visual stability and controlling eye movements. It is made up of many brain areas that cooperate to stabilize images of interest on the high-acuity part of the retina. All these systems must funnel through the same final common pathway through the brainstem. This module discusses the structures of the brain and brainstem that produce various eye movements with focus on their central connectivity. Ocular examination techniques along with their diagnostic interpretations will be reviewed. The goal is to create individualized ocular rehabilitative strategies for each clinical entity observed.

The proprioceptive system consists of many structures that provide for a constant feedback loop telling your brain where you are in space and what forces are acting upon your body at any point in time. It can also be referred to as kinesthesia (or kinesthesia) and sometimes is described as the “sixth sense”.  This module reviews and discusses how various proprioceptors, mechanosensory neurons located within muscles, tendons, and joints contribute to the proprioceptive sense.  The central connectivity of these structures will be discussed as well as the top-down modulation influencing their feedback properties.  The most common clinical entities affecting the proprioception will be discussed from an examination, diagnostic and management point of view.

There are seven basic movements the human body can perform, and all other movements are merely variations of these seven: Pull, Push, Squat, Lunge, Hinge, Rotation and Gait.   The creation of these seven basic movements is critical to human function and performance.   This module discusses the neurological mechanisms involved in the creation and coordination of movement.  You will learn about the main central structures involved in the creation of movement and how these seemingly independent nodes are significantly integrated together.  This module provides the foundational framework necessary for you to understand the pathologies involving the motor system.

Approximately 28% of the US population including both men and women aged 50-89 suffer from some type of movement disorder.  Of that 15-20% are a result of the secondary effects of pharmaceutical management resulting in Tardive Dyskinesia.  Thus, there is a substantial need for a better understanding of the pathophysiology involved in the development and maintenance of some of the most common movement disorders affecting humankind.  In this module you will learn the anatomy and physiology of the main neurological structures involved in the pathogenesis inherent to all movement disorders.  You will also learn examination history taking and examination techniques to allow you to correctly define the movement disorder that the patient has.  Once defined you will learn various treatment strategies to aid in managing your patient and reducing the pharmaceutical load that eventually leads to the development of tardive dyskinetic issues.

The prevalence of chronic pain and high-impact chronic pain in the United States, as analyzed by the CDC in 2016 is estimated to affect 20.4% (50.0 million) of U.S. adults for chronic pain and 8.0% of U.S. adults (19.6 million) for high-impact chronic pain. It has been estimated that 1 in 6 American suffer from chronic headaches.  There appears to be a significant need for better treatment and management strategies. In this module you will learn the foundational neurological structures and pathways responsible for producing pain and those brain areas/structures that are critical in reducing the pain experience.  You will learn specific examination techniques that will allow you to assess the integrity of the brain’s pain modulatory centers. With that knowledge you will be shown specific treatment techniques to address the dysfunctional brain regions promoting one’s chronic pain.

According to the latest data from the CDC (2020) heart disease continues as the leading cause of death for men, women, and people of most racial and ethnic groups in the United States accounting for about 647,000 deaths  each year—that’s 1 in every 4 deaths. Understanding the contributors to heart disease is critical to its prevention.  In this module you will learn about the anatomy and physiology of both the respiratory and cardiovascular systems.  Emphasis will be placed on the central neurological structure governing these systems and how pathophysiology in those systems act as a comorbidity to the presence of respiratory and cardiovascular disease. Examination and diagnostic techniques specific to these systems will be discussed and demonstrated as to develop better non pharmaceutical treatment and management strategies.

The National Institute of Health (2020) estimates 60 to 70 million people are affected by chronic digestive disease per year in the United states. It is also estimated that 43% of individuals suffer from intermittent digestive disorders.  Also, according to the NIH (2020) about 9% of men and about 11% of women of reproductive age in the United States have experienced fertility problems.  In this module you will learn the clinically important anatomy and physiology that is foundational to the understanding of the most common gastric and reproductive disorders.  Further the anatomy and physiology of the Brain-Gut Axis will be discussed from a gastric/reproductive disease centric point of view allowing clinicians a better understating of this very intimate relationship.  Examination techniques specific to these areas will be discussed and demonstrated to allow for the development of improved non-pharmaceutical management of these conditions.

The neurological examination and its understanding are foundational to the success of any applied patient treatment.   Being able to correctly navigate a patient’s history and overlay that history to an examination specific to a patient needs takes years of clinical study and practice.  This module is designed to provide you with the foundation necessary to build upon your skills to become an exceptional clinical interviewer and examiner.  This module will further teach you the skills necessary to navigate and interpret some of the most common advance testing techniques utilized by practitioners incorporating a functional neurology paradigm in their practices.

In this module, scholars will learn how to leverage the following pieces of technology in their practice: 

      1. CAPS Computerized Dynamic Posturography
      2. VOG
      3. Right Eyes
      4. PLR Analyzer
      5. C3-Logix
      6. Cambridge Brain Science
      7. EDx
      8. Imaging

Neurological rehabilitation is the term used to describe the treatment that patients receive after they have had a neurological injury, illness, or diagnosis of a long-term neurological condition. The World Health Organization’s definition of rehabilitation states “a set of measures that assist individuals, who experience or are likely to experience disability, to achieve and maintain optimum functioning in interaction with their environments” (WHO, 2011).  The module teaches you the core foundational principles in establishing a successful rehabilitation program addressing your patient’s specific needs. You will learn specific techniques to address specific areas of the nervous system and learn how to develop frequency and intensity strategies based upon an individual’s own metabolic capacity.

This module is specifically designed to teach clinicians from a patient centric point of view neurological diagnosis and treatment.  A combination of written case presentations and live case videos will be utilized to encompass the various neurological systems covered throughout the 800 series.  This is an interactive module that encourages participation in the form of questioning and ongoing critical discussion of the cases present.  The goal of this module is for each practitioner to feel comfortable and knowledgeable in the application of their own specific technique to the neurological condition/diagnosis presented.

Reading List

For a full list of all reading recommendations for the CNS program, click here. 

Legal Notices
Every attempt is made to offer programs as announced. The Carrick Institute for Graduate Studies reserves the right, however, to adjust program faculty, location, dates, times and tuition to accommodate unanticipated occurrences. The Carrick Institute for Graduate Studies is not responsible for any expenses incurred by registrants due to program adjustments or cancellations.

 


Upcoming Onsite and Livestream Courses

Cape Canaveral, FL

810: Lobes of the Brain – August 8-9, 2020 – Live Stream
811: Neurological Diagnosis – October 10-11, 2020 – Livestream
812: Sensory Systems – December 19 – 20, 2020 – Live |Live Stream


CNS Locations and Dates


Oct

10

811 – Neurological Diagnosis: Live Stream

October 10 @ 9:00 AM - October 11 @ 9:00 AM EDT


Oct

10

Brain-Based Adjusting – Atlanta

October 10 @ 9:00 AM - 6:00 PM EDT


Nov

21

Brain-Based Adjusting – Oslo

November 21 @ 9:00 AM - November 22 @ 6:00 PM EST


Dec

19

812 – Sensory Systems: Cape Canaveral

December 19 @ 9:00 AM - December 20 @ 9:00 AM EST


Dec

19

812 – Sensory Systems: Live Stream

December 19 @ 9:00 AM - December 20 @ 9:00 AM EST

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