Aging, Brain Injury, & The Human Experience · Oxygen usage makes free radicals. Free radicals age...
Transcript of Aging, Brain Injury, & The Human Experience · Oxygen usage makes free radicals. Free radicals age...
Welcome:
I‟ve designed this class to be education, interesting,
and applicable to your personal life, your family‟s
health, and your patients.
This presentation has a lot of concepts, simplified,
concentrated, easy to get and practical to you.
My hope is you‟ll come take one of my physical
courses and learn this information from a different
angle. Until that time please give me your feedback
so I can continue to improve on this topic.
Thank you
Mark Algee D.C.
805-256-0701
Aging, Brain Injury, & The Human ExperienceA On-Line Course
The following concepts we‟ll explore thru this presentation. Well look at each idea and
its value to you and your patients, they‟re not in a particular order, but each concept,
independent of one another, has practical applications.
1. Minimize injuries to your brain and body; your youth will not last forever.
2. Stimulate your brain and body. They‟re linked.
3. Chiropractic stimulates the nervous system.
4. Deliver a constant supply of glucose and oxygen to maximize ATP production.
5. Exercise 4 times a week; walking is excellent.
6. All sugars i.e. Glucose, Fructose, Sucrose, Maltose, are toxic and age you.
7. Inflammation ages you. Keep it low.
8. Stress ages you. Keep it low.
9. Don‟t stress out on being young, it‟ll stress you out.
General concepts to maximize the
Human Experience
Your brain will age. MRI studies of patients over a lifetime show that the brains of
healthy adults shrink. That means brains age. For all of us. Neurons die and we
lose function. You cannot escape this. Our short term memory capacity will
decreases with time and our reaction times will deminish. It‟s a slow, gradual, and
constant in our lives.
(I‟ve heard it beats the alternative.)
1. Minimize injuries to your brain and body;
your youth will not last forever.
1. Minimize injuries to your brain and body;
your youth will not last forever.
The brain is made up of individual neurons. These neurons communicate with one
another using neurotransmitters. The health of these individual neurons, their
metabolic capacity, and their ability to communicate with other neurons increases
brain performance. The collection of these individual neurons make up our brain
and give rise to consciousness.
All cells have mitochondria inside them which makes ATP (Except red blood cells).
The mitochondria is called the powerhouse of the cell. It produces ATP. Adenosine
Triphosphate (ATP) gives us the energy to think, move, breath, digest our food,
repair our bodies, and live our lives. Neurons need massive amounts of ATP to
function. Unlike other cells, neurons can conduct electricity, communicate with
other neurons, muscles, organs, and transmit information over long distances. ATP
is necessary to make all this happen.
1. Minimize injuries to your brain and body;
your youth will not last forever.
To make ATP you need glucose, oxygen, stimulation, and cofactors, and preferably,
an uninhibited electron transport chain. Oxygen usage makes free radicals. Free
radicals age neurons, the skin, and all internal organs. Our lifestyle can accelerate
aging. ATP is a short-term energy-storage compound. Fat is our long term energy
storage compound.
(Below; two different ways to look at ATP)
1. Minimize injuries to your brain and body;
your youth will not last forever.
2ATP
34
ATP
2ATP
Vitamin/Mineral
Deficiency
Low O2
Cytokines
Decreases in ATP will cause fatigue in your body and brain. This is a mitochondria
that is functioning properly and making the 34 ATP molecules possible thru the
electron transport chain. The electron transport chain is a set of proteins in the
cistern of the mitochondria that transports electrons to make ATP synthase work
generating 34 ATP molecules.
Cytokines and the Electron Transport Chain
Free radicals damage our DNA. When the DNA inside our cells is damaged, normal
proteins that the cell produce may become abnormal. This can contribute to
cancer, heart disease, dementia, cognitive and physical decline. Anti-oxidants
suppress free radicals. Anti-oxidants are vitamins and minerals that can „donate‟
an electron to the free radical, reducing its damaging impacts upon our DNA. Herbs
like boswella, turmeric, and fish oil can reduce inflammation.
1. Minimize injuries to your brain and body;
your youth will not last forever.
1) What biological activities contribute to aging?
a. Breathing
b. Running
c. Life
d. All of the above
2) What biological processes cause aging?
a. Free radicals
b. Anti-oxidants
c. Both A & B
3) What nutritional supplements can one use to decrease the negative impact of aging?
a. Fish oils
b. Boswella
c. Anti-oxidants
d. All of the above
4) How do anti-oxidants minimize the damage free
radicals do?
a. By accepting an electron
b. By donating an electron
c. By causing additional DNA damage
5) Oxygen usage makes what that damages DNA?
a. Free radicals
b. Free Agents
c. Free Ozone
6) The Krebs‟s cycle donates electrons to what?
a. The pantothenic acid pathway
b. The glycolytic pathway
c. The electric transport chain
7) What is the electron transport chain?
a. An oxygen chain.
b. Proteins in the mitochondria membrane that transport electrons
c. Fats in the Krebs cycle.
Most of us know that alcohol and drugs can damage and accelerate the death of
neurons. Current research shows that alcohol may not directly damage neurons as
we once believed. Alcohol seems to inhibit the dendrites ability to communicate
with other neurons. This inability for your brain cells to communicate may hinder
stimulation indirectly damaging neurons.
1. Minimize injuries to your brain and body;
your youth will not last forever.
Different drugs work different ways. Some drugs increase the release of certain
neurotransmitters, like dopamine. Others inhibit the reuptake of
neurotransmitters. If a neuron is over stimulated it may excite the cell to death
causing the release of neurotransmitters such as glutamate. Glutamate excites
other neurons in surrounding tissues potentially over stimulating those neurons.
1. Minimize injuries to your brain and body;
your youth will not last forever.
Most of us know that alcohol and drugs can damage the brain, but do you know
that diabetes, lack of exercise, and lack of mental stimulation can also cause
neurons to prematurely die? Diabetes disrupts glucose delivery inside the neuron
and will negatively impact the ATP production of mitochondria. Neurons need ATP
to operate sodium potassium pumps to keep a healthy resting membrane potential.
1. Minimize injuries to your brain and body;
your youth will not last forever.
Most common food allergies in America are;
Milk
Eggs
Peanuts
Tree nuts (such as almonds, cashews, walnuts)
Fish (such as bass, cod, flounder)
Shellfish (such as crab, lobster, shrimp)
Soy
Wheat
Foods have an impact upon cancer rates, cardiovascular health, and our energy. Both in
terms of blood glucose levels and something called cytokines. Cytokines are messengers of
the immune system. They are produced in response to infections. They can also be
produced in response to certain foods.
To the left are the most common foods in America that Americans have an allergic reaction
too. If these foods are in your product, the FDA requires it to state so on the label. Cytokines
produced in response to food sensitives can decrease ATP production.
(Technically, excessive production of NO induced by cytokines can disrupt cellular energy
balance through the inhibition of mitochondrial respiration.)
Cytokines and the 8 most common allergens in foods
2ATP
34 ATP
2ATP
Vitamin/Mineral
Deficiency
Low O2
Cytokines
Below is an example of what can happen when a person has vitamin/mineral
deficiencies, which inhibits the Krebs' Cycle, or low O2 which happens in anemias.
Cytokines from food sensitivities can inhibit the electron transport chain. In all
examples less ATP will be produced.
Cytokines and the Electron Transport Chain
8) List the substances that are detrimental to brain
function.
a. Street drugs
b. Anti-oxidants
c. Fish oils
9) How does alcohol age the skin?
a. Decreases inflammation
b. Increases inflammation
c. Improves water retention
10) How does exercise affect neurons?
a. Decreases the rate of firing
b. Decreases Glut- 4 transporters
c. Increases Glut-4 transporters and stimulation
11) The main powerhouse of the cell is the?
a. Cytokines
b. Axonal Transport
c. Mitochondria
12) ATP is the short term energy molecule, what is long
term energy storage.
a. Blood
b. Bone
c. Fat
13) Cytokines are what?
a. Messengers of the endocrine system
b. Messengers of the cardiovascular system
c. Messengers of the immune system
14) What individual foods cause the most reactions in USA? Choose
two.
a. Raddish
b. Kale
c. Dairy
d. Wheat
15) How do cytokines decrease energy?
a. The block the Kreb‟s cycle from working
b. They block O2 as the final electron receptor in the electron
transport chain
c. They inhibit the electron transport chain complex
16) What is the final enzyme that attaches a phosphate group to ADP
to make ATP?
a. Phosphatidylcholine Choline
b. ATP Synthase
c. Complex II
17) How does a nutritional deficiency affect the production of ATP?
a. It cannot contribute cofactors to the Krebs Cycle which
diminishes electrons to the electron transport chain
b. Cells of the gastrointestinal tract can‟t repair
c. Liver enzymes are produced in excess
Neurons need ATP to function. If glucose is absent over time this will stress
neurons and cause them to die prematurely. Exercise stimulates the production of
Glut-4 transporters within the neuron (and muscle cells). These transporters allow
neurons to uptake more glucose and create more ATP. Exercise also stimulates
neurons by increasing their rate of excitation and frequency of firing. This
generates proteins inside the nucleus of the neuron called anionic proteins. These
proteins are very important to the health of the neuron.
1. Minimize injuries to your brain and body;
your youth will not last forever.
And neurons need stimulation though thinking and being engaged with problem
solving. The brain needs active stimulation. Passive TV watching produces
Alpha waves, not the intense focused Beta waves needed for concentration.
Active participation in analytical activities such as math, chess, cross word
puzzles, and even social interaction helps keep our brains active.
1. Minimize injuries to your brain and body;
your youth will not last forever.
18) Exercise creates more of what type of Glut transporter?
a. Glut-13
b. Glut-4
c. Glut-5
19) What types of problem solving activities stimulate brain
function?
a. Simple, easy things
b. Complex problem solving
c. Passive listening
20) What are the three things a neuron needs to stay alive?
a. Glucose, O2, stimulation
b. Rest, relaxation, fats
c. Carbs, Gymnema, Cytokines
21) What activities improve brain cognition?
a. A hit to the frontal portion of the head.
b. A blow to the back of the head.
c. Chess
Your muscles will shrink. It‟s a slow, gradual, process that is unavoidable. We use
oxygen for energy. Oxygen usage makes free radicals. Free radicals age us and
neurons die. Neurons innervate muscle cells. When the neuron dies the muscle
innervated by that neuron no longer receives stimulation and it dies. Exercise can
negate some of the negative effects of aging but this is also a biological process.
1. Minimize injuries to your brain and body;
your youth will not last forever.
Your skin will age. We use oxygen for energy and inflammation as a defense
mechanism. Oxygen usage makes free radicals which damages DNA.
Inflammation caused by diet, alcohol, sugar, and a pro inflammatory diet causes
collagen in the skin to weaken. Along with smoking, sun exposure, and dehydration
all contribute to aging skin.
1. Minimize injuries to your brain and body;
your youth will not last forever.
A traumatic brain injury, which is any hit to the head, can cause blunt force
trauma, shearing forces, rupture cell membranes, releasing the neurotransmitter
glutamate which will stimulate NMDA receptors, causing an influx of calcium into
surrounding neurons, and subsequently its death (when calcium inside the neuron
exceeds 20% it dies).
Traumatic Brain Injuries
Studies of patients with a traumatic brain injury demonstrate that the brain loses
some of its ability to communicate with itself properly.
Traumatic Brain Injuries
Signs of a TBI
Confusion and disorientation
Difficulty remembering new information
Headache
Blurry vision
Nausea and vomiting
Ringing in the ears
Trouble speaking coherently
Changes in emotions or sleep patterns
Fatigue
Slowness in thinking
Visual disturbances
Memory loss
Poor attention/concentration
Dizziness/loss of balance
Irritability-emotional disturbances
Feelings of depression
Seizures
Loss of smell
Sensitivity to light and sounds
Mood changes
Getting lost or confused
Traumatic Brain Injuries
Jim McMahon is a prime example of an athlete who had three know concussions.
Today he speaks about his difficulty with memory, depression, and cognitive issues.
At BYU University, Jim would play baseball, run down the hill, change uniforms and
do football practice. At age 56 he says he hasn‟t run since leaving football, plays a
lot of golf, and sometimes works out. He say, (about working out)
“Just days I can‟t, I can‟t”. Click on right image below.
Traumatic Brain Injuries
There are three different degrees of TBI‟s. Mild, Moderate, Serve. If loss of
consciousness and/or confusion and disorientation is shorter than 30 minutes this
can be classified as mild TBI. A concussion IS a traumatic brain injury.
Traumatic Brain Injuries
A moderate head injury is defined as loss of consciousness for between 15
minutes and 6 hours, or a period of post-traumatic amnesia of up to 24 hours.
Traumatic Brain Injuries
A severe brain injury is defined as a brain injury resulting in a loss of
consciousness of greater than 6 hours.
Traumatic Brain Injuries
Traumatic Brain Injury's are known by other names;
Concussion
Head trauma
Brain injury
Head injury
Closed Head Impact Injury
Traumatic Brain Injuries
22) Is our physical youth eternal in this physical world?
a. Yes
b. No
23) Traumatic Brain Injuries are caused by what?
a. Internal forces to the head
b. Strokes
c. Hypoxia events
d. External forces to the head
24) What are the three types of TBI‟s?
a. No good, Bad, Really Bad
b. Mild, Moderate, Severe
c. Fair, adequate, excessive
25) What are the major hallmarks of a TBI?
a. Headaches, inability to concentrate, fogginess
b. Increased focus, clarity of thoughts, better
sleep
c. Increased reaction times, increased ATP
production, improved memory
26) How does a TBI disrupt communication within the
brain? Chose only one.
a. It increases communication of neurons
b. Damage to the white matter of neurons thru
shearing forces
c. The damage to grey cell bodies
27) List physically activities we can do to accelerate
the aging of our brains?
a. Meditating
b. Getting a massage
c. Properly applied Chiropractic Care
d. Full contact boxing
28) Is a concussion a brain injury?
a. Yes
b. No
29) What is the definition of a mild TBI in relation to
time?
a. Being unconscious for 4 hours or more
b. Being unconscious for 30 minutes or less
c. Being unconscious for 2 hours or more
30) How does a brain injury form a stroke differ from that of
a TBI?
a. A stroke is caused by a blockage in blood flow
b. A TBI is caused by hypoxia issues
c. A stroke causes shearing forces upon neurons
31) NMDA receptors are what?
a. N Methyl Dioxin Antagonist
b. N Methyl D Asparate
c. N Membranes D Anions
32) Other names for Traumatic Brain Injury
a. Concussion
b. Head trauma
c. Brain injury
d. All of the above
Neurological concepts of chiropractic
Let‟s take a simplified approach at inputs and outputs that affect our nervous
system. Our brain has two main outputs. 10% of that output is used to control
voluntary movement.
10%
Movement
Outputs
Inputs
90% of our output is used to control our bodies automatic systems (digestion, heart
rate, temperature, sweat glands, heart rhythm, and the like). We‟ve all heard you
only use 10% of your brain. (Does that mean we can remove 90% of your brain and
you‟ll still be normal?) You use 100% of your brain. Protect it at all cost. We also
need to exercise our brain thru movement, exercise, rest, social interaction, and
cognitive stimulation. Complex, problem solving stimulates our neurons and helps
preserve them.
2. Stimulate your brain and body. They’re linked.
90%
Autonomics
Outputs
Inputs
Chiropractic affects the brain and its output.
The correct adjustment delivered within the metabolic capacity of the nervous
system can reduce stress, improve digestion, positively affect the heart‟s rate and
rhythm, vision, hearing, reduce pain, increase, range of motion, improve balance
and coordination. Chiropractic is amazing!!! However, remember, the body is still
aging and all systems in time will work with less efficiency. Other forms of health
care are necessary when the time is appropriate.
2. Stimulate your brain and body. They’re linked.
10%
Movement
90%
Autonomics
Outputs
Inputs
Chiropractic affects the brain and its output.
On the opposite side of those benefits, the wrong adjustment, or the right
adjustment which exceeds metabolic capacity can have negative affects upon the
brain. We can inhibit digestion, negatively affect the heart‟s rates and rhythm,
decrease vision, decrease hearing, decrease range of motion, and cause
equilibrium instability.
2. Stimulate your brain and body. They’re linked.
10%
Movement
90%
Autonomics
Outputs
Inputs
Exercise affects the brain and its output.
We need to move. We need to exercise. Our brain cannot be at its peak without
stimulation, glucose uptake (via Glut 4 transporters) and oxygen. Exercise helps
with all of these. Plus the stress reduction affects post exercise are beneficial in
many ways. Weight lifting can be either aerobic or anaerobic depending on how you
train.
2. Stimulate your brain and body. They’re linked.
10%
Movement
90%
Autonomics
Outputs
Inputs
Massage affects the brain and its output.
Just like chiropractic, massage can have both positive and negative affects upon
the nervous system. Swedish massage has benefits (done on healthy patients)
such as stress relief and stimulates the brain. Deep tissue massage or sports
massage performed on a patient who has a brain imbalance can cause health and
balance problems. Patients who have a brain imbalance will look pale and have
more difficulty with movement after getting off the table.
2. Stimulate your brain and body. They’re linked.
10%
Movement
90%
Autonomics
Outputs
Inputs
Food affects the brain and its output.
Let food be your medicine.
In the past a diet of 70% carbs, 20% protein, and 10% fat was recommended. Today
with the Paleo movement and with Dr. Atkins prior to that, we have changed the way
we thing about fat, proteins, grass raised beef, organic farming, and foods in
general. Food affects inflammation levels, energy levels and mood.
2. Stimulate your brain and body. They’re linked.
10%
Movement
90%
Autonomics
Outputs
Inputs
Supplements & Nutrition affects the brain and its output.
Nutrition can make huge changes in a persons health. I‟ve used Wealth of Health,
Biotics, Apex, Standard Process, Twin Labs, Good n Natural, Medi Herb, Country
Life, Solgar…. I worked in a retail nutrition store for 11 years. I was the Student
Standard Process Rep at SCUHS I‟ve seen what nutrition can do and know its
powerful benefits. Remember, we are aging . Supplements help slow down that
process.
2. Stimulate your brain and body. They’re linked.
10%
Movement
90%
Autonomics
Outputs
Inputs
Aroma therapy affects the brain and its output.
.
Besides smelling great, scents can stimulate the brain. Unlike most other senses,
scent stays on the ipsilateral (same) side. So if you‟re trying to stimulate the right
brain have the patients smell thru the right nostril.
2. Stimulate your brain and body. They’re linked.
10%
Movement
90%
Autonomics
Outputs
Inputs
Mental Stimulation Chiropractic affects the brain and its output.
.
The brain needs active stimulation. Passive TV watching produces Alpha waves, not
the intense focused Beta waves needed for concentration. Active participation in
analytical activities such as math, chess, cross word puzzles, and even social
interaction helps keep our brains active. The meme “Use it or lose it” doesn‟t just
pertain to muscles. It applies to brain neurons as well.
2. Stimulate your brain and body. They’re linked.
10%
Movement
90%
Autonomics
Outputs
Inputs
Meditation affects the brain and its output.
.
Meditation has been shown to improve cognitive ability, reduce stress, and
increase dendritic growth. It‟s not only good for your soul, and stress reduction,
its also good for your brain.
2. Stimulate your brain and body. They’re linked.
10%
Movement
90%
Autonomics
Outputs
Inputs
33) Our brain has how many forms of output?
a. Three
b. One
c. Two
34) 10% of the brains output is for control of autonomics.
a. True
b. False
35) You use 100% of your brain to control muscles
a. True
b. False
36) The brain uses 10% of its output for movement.
a. True
b. False
37) An input is any thing that affects the nervous system?
a. True
b. False
Metabolic Capacity, at its most basic level, is the ability of the neurons to generate
ATP and fire. In a more general approach, lets use an example of a person trying
to run a marathon. In the beginning of training, the untrained runner has not built
up the capacity of the mitochondria to generate ATP. The length of time a new
athlete can train will be low and fatigue will come quickly. The new athlete has low
metabolic capacity and high fatigability. He‟ll need more rest.
Resting
Time
Training & Resting;
Metabolic Capacity & Fatigability
Training
Over time the wise athlete will train a little longer each session gradually increasing
their metabolic capacity. ATP will be generated in greater amounts. Training times
will increase and performance will improve. Nerves and muscles will be able to
perform longer before fatiguing. Metabolic capacity increases, the athlete can train
longer, and the time until the athlete fatigues will be prolonged.
Resting
Time
Training
Training & Resting;
Metabolic Capacity & Fatigability
So let‟s relate this concept of metabolic capacity to chiropractic and the neuron. When we adjust a
joint, we cause the receptors in that joint, the muscles, and tendons to send signals thru neuron
into the nervous system. (Technically, we say neuron but we should say neurons. Its an easier
idea to communicate.)
If the fatigability of the neuron is high and/or the ATP is low, and the adjustment is in excess of the
metabolic capacity, meaning we deplete all the available ATP, then the internal machinery of the
neuron may be insufficient to transport nutrients to generate more ATP. In essence we have
exceeded the metabolic capacity of the neuron.
Image a 45 year old couch potato who‟s motivated after watching a Rambo Movie to get fit. So, he
goes to the local Ultra Boot Camp or Cross Fit and finds a young, motivated, hyper trainer who
does not know the limits of a mature body. The trainer pushes this 45 year old, untrained, injury
prone, individual until they can do no more. What happens the next day? Can our 45 yr old even
move? Is he in better health than the day before training? (This is why they're so many training
injuries in Boot Camps.)
3. Chiropractic stimulates the nervous system.
We have „untrained‟ neurons, under stimulated one moment,
then overstimulated the next. A chiropractic adjustment can
exceed the capacity of the neuron, theoretically, injuring it. As
health care practitioners, doing no harm is of paramount
importance. The tell tell signs of exceeding metabolic capacity
after an adjustment is a patient that is dizzy, spacey, or
lightheaded after treatment.
Keeping the adjustment within the metabolic capacity of the neuron will preserve the neuron
and increase its ability to make ATP. It will also allow new dendritic growth to take place.
Think of it as you‟re the neurons personal trainer and you don‟t want to over train your
client. This is the concept of neuroplasticity and our brains ability to restructure itself. This
is why we need to see our patients more than once. We need to „train‟ the neurons properly.
I‟m here for you!!! You CAN DO THIS!!!!
3. Chiropractic stimulates the nervous system.
38) What is the single most important indicator that an adjustment was
delivered properly?
a. More clarity
b. Less clarity
c. More pain
39) Exceeding metabolic capacity in relation to the neuron means what?
a. Too little ATP got used
b. Too much fat wasted
c. Too much ATP was consumed
40) Fatigability in relation to the neuron relates to?
a. Frequency of firing
b. Rest
c. ATP production
d. All of the above
41) Over stimulation of the neurons can______?.
a. Injure the neuron.
b. Motivate the neuron.
c. Heal the neuron.
Models, as the ones we construct to explain things, change with the times. Models about health,
the universe, God, partnerships, quantum physics, and politics change. What we believed in the
past may not hold true for today. Our technology changes and we can see things in a new way.
New models are constructed and old ones discarded or updated.
The safety pin below was one of the models in which chiropractic was explained. A subluxation
represented the open safety pin which stopped communication form the brain, down the spinal
cord, and back up to the brain. In the past we believed a pressure on nerve model of chiropractic.
Today we believe in a more thoroughly explained neurological model, overly simplified and shown
below.
Muscles
Joints
Cerebellum
Thalamus
Somasensory Cortex
Parietal Cortex
Motor Cortex
Temporal Lobe
Neurological model of chiropractic
Muscles and Joints send signals via proprioceptors in the joint and muscle stretch
receptors in the muscle (Dynamic nuclear bag, static nuclear bag, nuclear chain, golgi
tendon organs, group Ia afferent neurons, group II afferent neurons) send signal into the
cerebellum via the spinocerebellar tract to the cerebellum. From the cerebellum thru the
dentate nucleus, via the dentatorubrothalamic tract, into the primary somasensory cortex
(Areas3,1,2) Signals travel from this unimodal area to multimodal areas and stimulate
brain function.
Muscles
Joints
Cerebellum
Thalamus
Somasensory Cortex
Parietal Cortex
Motor Cortex
Temporal Lobe
Neurological model of chiropractic
Negating all the fancy names, just remember Doctor, you directly stimulate or
overstimulate brain function with a chiropractic adjustment. Use caution when dealing
with a person‟s nervous system. Over adjusting can exceed the capacity of the neuron.
Looking below, if we have a injured muscle, or a subluxated joint, by default we have
decreased and/or altered input into the nervous system.
Muscles
Joints
Cerebellum
Thalamus
Somasensory Cortex
Parietal Cortex
Motor Cortex
Temporal Lobe
Neurological model of chiropractic
Decreased and/or altered input affects all portions of the brain. Including muscles,
perception, vision, hearing, taste, and touch.
If input is abnormal then output is abnormal.
Pre and post measurement (muscle testing, ROM, smell perception, blind spot mapping,
leg length, grip strength, or Romberg's, heal to toe, finger to nose) will give you an
indicator if your treatment was appropriate.
Muscles
Joints
Cerebellum
Thalamus
Somasensory Cortex
Parietal Cortex
Motor Cortex
Temporal Lobe
Neurological model of chiropractic
DD didn‟t cause a dead nerve to grow.
He improved the brains ability to perceive
sound
If we look into the past at what DD did with Harvey Lillard, maybe DD didn‟t regenerate a
dead nerve, (that would imply the power over creation) or take pressure off a nerve (I‟m
not certain of any nerve that travels from the ear, down the spine, before going back up
to the opposite cortex) maybe he stimulated excitatory input into the brain and allowed
the perception of hearing to take place
Muscles
Joints
Cerebellum
Thalamus
Somasensory Cortex
Parietal Cortex
Motor Cortex
Temporal Lobe
Neurological model of chiropractic
42) Which pathway does the cerebellum uses to communicate with the brain?
a. Spinocerebellar pathway.
b. Dentorubiothalamic pathway.
c. Corticospinal tract.
43) Subluxations can cause?
a. Decreased and/or altered input.
b. Normal input.
44) How does a subluxation impact balance? (Check all that apply)
a. Decreased input to the cerebellum
b. Decreased input into the periaqueductal grey area.
c. Decreased input into the fourth ventricle.
45) Why is the overstimulation of a neuron potentially damaging?
a. Excessive glutamate can damage neurons.
b. Excessive dopamine can damage neurons.
c. Excessive acetylcholine can damage neurons.
46) As chiropractors we can train neurons to perform better.
How?
a. By the continued, proper, input of stimulation via the
adjustment.
b. By neuromuscular facilitation.
c. By balance boards and stability exercises.
d. All of the above.
Blood Stream
56
34
ATP
Insulin
Insulin
Receptor
Glut Transporter
Disruptions in glucose can be deadly to neurons. Diabetes is dangerous because glucose cant get
into the cell via a Glut-4 transporter. Once inside the cell, glucose is broken down into pyruvate
before entering the Krebs cycle to generate ATP. If insulin receptors on the cell surface are
insensitive to insulin, glucose cannot enter the cell causing a decrease in ATP production.
4. Deliver a constant supply of glucose and oxygen to neurons to maximize ATP
production, your energy, and promote neuronal health
Excessive sugars in the blood
cause Advanced Glycation End
products. Also known as
AGE‟s. These things are very
damaging to your health
because they cause an
increase in free radicals.
Consuming excessive sugars will result in the production of Advanced Glycation End products.
Also known as AGE‟s. AGE‟s combine with proteins to increase free radical production. This will
cause oxidative stress which will accelerate damage to the DNA.
AGEs affect nearly every type of cell and molecule in the body and are thought to be one factor in
aging and some age-related chronic diseases. They are also believed to play a causative role in the
vascular complications of diabetes mellitus.
Under certain pathologic conditions, such as oxidative stress due to hyperglycemia in patients
with diabetes, AGEs cause widespread damage to tissues through upregulation of inflammation
and cross-linking of collagen and other proteins.
Glucose and other reducing sugars react with proteins. The formation of advanced glycation end
products on connective tissue and matrix components accounts largely for the increase in collagen
crosslinking that accompanies normal aging and which occurs at an accelerated rate in diabetes,
leading to an increase in arterial stiffness.
AGE‟s, what they are and what they do
5. All sugars i.e. Glucose, Fructose, Sucrose, Maltose, are toxic and age you
47) Excessive sugars are toxic. Why?
a. They get used as energy.
b. They turn into triglycerides.
c. They make advanced glycation end products.
48) AGE are damaging to human health because?
a. They react with proteins and accelerate free radical production.
b. They cause interactions with bones.
c. They cause an increase in water retention.
49) How does diabetes damage the brain?
a. Increases Glut 4 Transporters.
b. Decreases the uptake of glucose into neurons.
c. Decreases Advance Glycation End Products.
Diabetes and Alzheimer's
Growing evidence suggests that there may be a link between diabetes and Alzheimer's
disease, but the physiological mechanisms by which diabetes impacts brain function and
cognition are not fully understood. In a new study published in Aging Cell, researchers at the
Salk Institute for Biological Studies show, for the first time, that diabetes enhances the
development of aging features that may underlie early pathological events in Alzheimer's.
Specifically, the Salk team found increases in two hallmarks of Alzheimer's-accumulations of
amyloid beta (Abeta) and tau protein-in the brains of diabetic mice, especially in cells
surrounding blood vessels.
4. Deliver a constant supply of glucose and oxygen to neurons to maximize ATP
production, your energy, and promote neuronal health
Regardless of the specific reason why, Diabetes
is a dangerous and threating condition to your
brains health. With decreased ATP production
due to a decreased inability of glucose to enter
the cell, ATP production will be diminished,
neuronal communication will be diminished, and
mental fatigue will result in the short term and
Alzheimer's potentially in the long term.
Genes
Our Genes are like a deck of cards that we get dealt in life. We don‟t get to pic those
cards dealt to use from our parents. The lucky ones get a few more face cards, aces, a
king, queen, and a few jacks. The rest of us get an assortment of cards, a few great, a
few not so great. Most of us want to put back the Joker, 2‟s, 3‟s and replace them with
Aces, but that‟s just not how life works.
Genes, Lifestyle, and Identical Twins
Using the Tirade of Health from Applied Kinesiology as a teaching model, it has three
components that make up each leg of the triangle. The Mental, Chemical, and Physical
portions, which each contribute to our lifestyle.
Our lifestyles are both unique and collective. We live different lives, have different
stressors, eat different foods, and work in different industries. However, collectively we
all live in the same „soup‟. The industrial revolution and the constant increase in
technology has greatly make our lives easier. However, the toxic burden that is
negatively affecting our DNA and hormonal make-up are of great concern to the long
term survivability of our species. In 1910 D.D. Palmer wrote, “The determining cause of
disease are traumatism, poison, and auto-suggestion.” If in 2015, we were all so lucky.
Physical
Lifestyle
Genes, Lifestyle, and Identical Twins
When our genes and our lifestyle combine, this makes us unique.
All three can either add or de-stress our lives. A happy reunion with friends or a stressful meeting
with our landlord. A nutritional supplement and a healthy meal or exposure to heavy cleaning
solvents. A good workout or a car accident. All items contribute to our lifestyle. The combination of
genes and lifestyle make us unique.
YouGenes
Physical
Lifestyle
Genes, Lifestyle, and Identical Twins
Genes + Lifestyle = You
We see this most clearly in twin studies. Two people with the same DNA (deck of cards) but who
live different lifestyles. Different mental experiences, different nutritional intakes and foods, and
different workout routines and accidents.
The twin sisters on the left are 50 lbs different in weight. Look closely at their facial features.
Notice the differences.
The brothers on the right both smoked. The brother on the right smoked an additional 14 years
than his brother on the left. Look at the angulation of their eyes, nose, chins, and skin texture.
5. Exercise 4 times a week; walking is excellent.
7. Inflammation ages you, keep it low.
Genes + Lifestyle = You
Genes + Lifestyle = You
Look at the twins below. I‟ll let you guess, which one twin likes the sun, likes to smoke, doesn‟t
exercise, or take nutritional supplements. Look at the sheen of the hair, texture of the skin,
wrinkles, and age spots. Our General concepts to maximize the Human Experience listed below
show how our lifestyle impact our genes. Your genes are not 100% you.
5. Exercise 4 times a week; walking is excellent.
7. Inflammation ages you, keep it low.
1. Minimize injuries to your brain and body; your youth will
not last forever.
2. Stimulate your brain and body. They‟re linked.
3. Chiropractic stimulates neurons.
4. Deliver a constant supply of glucose and oxygen to
neurons to maximize ATP production, your energy, and
promote neuronal health
5. Exercise 4 times a week; walking is excellent.
6. All sugars i.e. Glucose, Fructose, Sucrose, Maltose,
are toxic and age you
7. Inflammation ages you, keep it low
8. Stress ages you. keep it low.
9. Don‟t stress out on being young, it‟ll stress you out
Genes, Lifestyle, and Identical Twins
50) Inflammation can cause pain. What else can it do?
a. Make us feel good.
b. Accelerate the aging of our skin.
c. Give us more sheen to our hair.
51) Based on this presentation, your genes are 100% determine what you will look like
Chose all that are true based on our presentation
a. 100% True
b. Lifestyle contributes to how my DNA expresses itself
c. Inflammation, smoking, and excessive sugars, also contribute to how I look
52) Lifestyle is made up of many things. Using the Tirade of health from AK as a model,
what three components make up most of our lifestyle?
a. Physical, Chemical, Mental
b. Mental, Chemical, Inflammation Avoidance
c. Psychosomatic, Charkas, Positive Affirmations
Right
Cerebellum
Left
Cortex
IML
Interiomediallateral Cell Column
(Previous name Lateral Horn)
Sympathetic Nervous System(Stress System)
PMRF
Right Joints
Right Muscles
Right
Cortex
Left
Cerebellum
Left Joints
Left Muscles
PMRF
IML
Interiomediallateral Cell Column
(Previous name Lateral Horn)
Sympathetic Nervous System
(Stress System)
A technical view of
why you should
check blood pressure
on both sides.
The IML controls the
tone of the arterial
wall. That means it
controls blood
pressure. For those
of you who‟ve done
mechanics in your
life, you‟ll think that
blood pressure
should be the same
throughout the body
because the
circulatory system is
a closed system.
That‟s true in
hydraulics and cars,
but no so in humans.
(Due to elasticity of
blood vessel walls.)
Right
Cerebellum
Left
Cortex
IML
Interiomediallateral Cell Column
(Previous name Lateral Horn)
Sympathetic Nervous System(Stress System)
PMRF
Right Joints
Right Muscles
Right
Cortex
Left
Cerebellum
Left Joints
Left Muscles
PMRF
IML
Interiomediallateral Cell Column
(Previous name Lateral Horn)
Sympathetic Nervous System
(Stress System)
Increases in cortisol
cause an increase in
IL-6 (interleukin 6).
IL-6 causes your
sympathetic system
to work „better‟. This
is the system that
increases arterial
tone, which causes
and increase in blood
pressure.
We don‟t want all of
our systems to work
at their best all of the
time.
Right
Cerebellum
Left
Cortex
IML
Interiomediallateral Cell Column
(Previous name Lateral Horn)
Sympathetic Nervous System(Stress System)
PMRF
Right Joints
Right Muscles
Left
Cerebellum
Left Joints
Left Muscles
In this model of
chiropractic and
blood pressure, right
sided inputs have
impacts on left sided
blood pressure (this
is not the only
reasons for elevated
blood pressure).
Right
Cerebellum
Left
Cortex
IML
Interiomediallateral Cell Column
(Previous name Lateral Horn)
Sympathetic Nervous System(Stress System)
PMRF
Right Joints
Right Muscles
Decreased inputs to
right cerebellum due
to subluxations or
muscle injuries
cause decreased
outputs to left cortex.
The left cortex
stimulates the left
PMRF.
The Pontomedullary
Reticular Formation
shuts down the IML
which increases
arterial tone.
Lets state it another
way. The IML is
always wanting to
work at its maximum.
When it works too
well it will increase
the toe of muscles
surrounding the
arterial wall. It needs
to be shut off by a
strong working
PMRF.
53) Checking blood pressure on both sides of the
body is a waste of time.
a. True
b. False
54) Have the Sympathetic Nervous System work
at full output is a good thing.
a. True
b. False
55) Subluxations cause decreased input into the
nervous system.
a. True
b. False
56) The IML is?
a. Interomedioalateral cell column
b. Intermediate locus
c. Internal Medulla Lesion
57) The IML controls what?
a. The adrenal glands
b. Heart rate
c. Blood pressure
d. All of the above
58) Subluxations can impact blood pressure?
a. Yes
b. No
59) The PMRF is what?
a. Pontomedullary Reticular Formation
b. Pacific Missile Range Facility
c. Pupil Medial Rotational Functional Group
60) Where is the PMRF located?
a. Right & Left cortex
b. Right & Left Winkers area
c. Right & Left Midbrain
61) What does the PMRF do?
a. Facilitates the IML
b. Stimulates the IML
c. Inhibits the IML
72
High stress causes high cortisol secretion.
Elevated cortisol
• Inhibits the immune system
• Suppresses youth hormones
• Impacts Inflammatory levels
• Impacts Energy Levels
• Impacts Glucose levels
• Damages the brain
• Damages the skin
• Decreases Telomerase
• Damages hair pigmentation
Cortisol, stress, and its impact upon health
Its estimated that American Presidents age 2 ½
years for every year they‟re in office. That
would mean for eight years in office the
President would age 20 years!!!!! What‟s the
message? Only a person who hates youth
would ever want to be President. Cortisol
damages every major system in the body and
accelerates aging. Some additional effects of
cortisol are
• Anxiety
• Depression
• Digestive problems
• Heart disease
• Sleep problems
• Weight gain
• Memory and concentration impairment
Reviewed by Meri Rafetto, RD, Stephen Cherniske, MS and Gerri French, Rd, MS,
CDE.
©2004 Teeccino Caffé, Inc.
Coffee and Caffeine Increase Chronic Stress
Caffeine intake and coffee consumption increase our experience of stress by stimulating
the release of the stress hormones cortisol, epinephrine, norepinephrine and the
glucocorticoids. The continuous presence of these hormones not only has a damaging
effect on a number of different physiological
systems, but can also accelerate the aging process. Although short-term stress can be
psychologically motivating and can mobilize physiological processes, the extended
presence of stress-related hormones is detrimental and damaging. When stress
hormones are chronically elevated, which occur as a result of our intense lifestyle as
well as a consequence of ingesting coffee and caffeine, mental concentration is short-
lived as anxiety and feelings of tension increase, while fine motor coordination is
impaired;1 the immune system is suppressed, digestion and elimination are impaired.
Effects of Caffeine and Coffee on Aging
8. Stress ages you. Keep it low. It seems
Coffee may increase our body stress hormones
Reviewed by Meri Rafetto, RD, Stephen Cherniske, MS and Gerri French, Rd, MS,
CDE.
©2004 Teeccino Caffé, Inc.
Caffeine Lowers Production of DHEA
Coffee and caffeine also decrease levels of the steroid hormone, dehydroepiandrosterone,
commonly known as DHEA. DHEA seems to have a protective effect on the body and appears to
be involved in defending against the negative effects of aging. Some of the physical and
physiological changes of aging are related to the decline of many hormones including DHEA that
assist in repair of cells and tissues,
enhance cognition and memory, and help maintain the body‟s physiological processes.
5 Caffeine and coffee negatively impact these complex hormonal systems.
The Effect of Caffeine on Cognition in Aging
The specific influence of the aging process on the nervous system and cognitive function is not well
understood. While most sources insist that decline in cognitive function is not a normal part of
aging, others suggest that cognitive efficiency surrounding memory and speed of processing
declines with age, even in healthy individuals.
8. Stress ages you. Keep it low.
Effects of Caffeine and Coffee on Aging
Effects of Caffeine and Coffee on AgingReviewed by Meri Rafetto, RD, Stephen Cherniske, MS and Gerri French, Rd, MS,
CDE.
©2004 Teeccino Caffé, Inc.
The Effects of Chronic Stress on the Hypothalamic-Pituitary-Adrenal Axis
The endocrine, immune and nervous systems are extremely interrelated, and the hypothalamic-
pituitaryadrenal axis is the central focus of these integrated systems which is responsible for
coordinating regulation of hormones. Excessive cortisol release through constant psychosocial
stress or coffee and caffeine intake can lead to adrenal exhaustion or adrenopause, characterized
by a relative excess of cortisol and a corresponding insufficiency of or decline in DHEA. This is
related to a number of clinical
illnesses, including: osteopenia, impairment of cognitive functioning or mood, progression of
coronary artery disease and atherosclerosis, and immune system depletion. Situations where there
is chronic release of cortisol and other corticosteroids by the adrenal glands have been implicated
in neural degeneration and interference with the hippocampus and memory formation.
8. Stress ages you. Keep it low.
Effects of Caffeine and Coffee on Aging
Effects of Caffeine and Coffee on AgingReviewed by Meri Rafetto, RD, Stephen Cherniske, MS and Gerri French, Rd, MS,
CDE.
©2004 Teeccino Caffé, Inc.
The Relationship between Stress Hormones, Neurotoxicity, and the Brain
The hippocampus is the area of the brain responsible for the formation of new memories as well as
the retrieval of information from memory storage, making it a structure central to the optimal
functioning of the brain and nervous system. The hippocampus is particularly sensitive to the
effects of stress, as it contains a high concentration of corticosteroid receptors. Neurotoxicity
occurs, even after only a few weeks or months of chronic stress, causing high levels of
glucocorticoid release, which can amplify over
an entire lifetime.
8. Stress ages you. Keep it low.
Effects of Caffeine and Coffee on Aging
Effects of Caffeine and Coffee on AgingReviewed by Meri Rafetto, RD, Stephen Cherniske, MS and Gerri French, Rd, MS,
CDE.
©2004 Teeccino Caffé, Inc.
Coffee and Caffeine Increase the Risk of America’s # 1 Cause for Death
Caffeine intake and coffee consumption further increase risk of developing heart disease and
succumbing to a heart attack. Heart disease is not only the foremost killer of adult Americans;
associated cardiovascular problems can create substantial debility in older adults. Some of the
factors that contribute to developing cardiovascular disease include: high cholesterol, high levels of
homocysteine, elevated blood pressure, abdominal obesity, stress, arrhythmias, low daily fruit and
vegetable consumption, and diabetes.• Caffeine and coffee consumption negatively impact many of these risk factors.
• Coffee raises serum cholesterol.
• Coffee drinking causes increases in serum homocysteine levels.
• Coffee raises blood pressure and increases the incidence of arrhythmias.
• Coffee drinking and caffeine consumption also significantly increases levels of stress hormones, as discussed elsewhere in this
paper. Chronic stress and constant release of excess cortisol (which is affected by caffeine and coffee) produces a more frequent
incidence of abdominal obesity, further increasing heart disease risk.
8. Stress ages you. Keep it low.
Effects of Caffeine and Coffee on Aging
The hippocampus is a major component of the brains of humans and other mammals. It plays
important roles in the consolidation of information from short-term memory to long-term memory
and spatial navigation. It is a limbic system structure that is particularly important in forming new
memories and connecting emotions and senses, such as smell and sound, to memories. The
hippocampus is a horseshoe shaped paired structure, with one hippocampus located in the left
brain hemisphere and the other in the right hemisphere.
Hippocampus
Cortisol, stress, and its impact upon health
Lower right, here we see the hippocampus on a MRI study showing that it gets smaller
with high stress, due to it being damaged by high levels of cortisol. So ironically, the more
stress you have, the more you damage the hippocampus, and the hippocampus turns off
the cortisol release response.
62) Coffee stimulates the production of stress hormones.
a. True
b. False
63) What brain structure is extremely sensitive to increased glucocorticoids?
a. The cortex
b. The brain Stem
c. The Hippocampus
64) The hippocampus is necessary for?
a. Memory
b. Taste
c. Vision
65) Cortisol damages what?
a. Telomeres, skin, arterial walls, nervous system,
heart, immune system, and brain.
b. Air, wind, and sky.
c. Nothing
Regardless of when you start, improving your health at any age can be of
benefit. This model below shows that you can maximize your health and
minimize the negative effects of aging.
You can increase your health at any age
9. Don’t stress out on being young, it’ll stress you out
Class objectives Completed
1. You‟ve learned something new
2. Remembered something forgotten
3. See something in a different light.
Aging, Brain Injury, & the Human ExperienceA On-Line Course