Empowering Women in Chiropractic – Make Sense Out of Chiropractic Care for Kiddos!

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  We suggest you watch the video while reading the transcript.

Well, hello, everybody happy October 21st. I am Monika Buerger from Intersect4Life. And I have my sidekick Elizabeth say hi to the world. Um, she’s a little bit upset with me today because I did not have her in our Halloween costume dagnabbit. Anyway, we are here to do an, a very exciting show for you. Since October is national sensory awareness month, we are going to make you more aware of your senses and how to make help you help your patients understand what it’s like to be aware of their senses. Yeah, sounds pretty cool. Anyway, I want to, um, they ChiroSecure for giving us this platform and always having the backs of chiropractors, uh, to give us the, um, most sound information and help for us to be as successful as possible out there. So I am going to Dodge over and we’re going to see a few slides today.

So this is my wild and crazy. Um, what sixties kind of vibe we got going on here. Um, so did you know, this is where chiropractic care is so phenomenal. Did you know that postural instability or postural stability either way you wanna look at it is associated with sensory processing disorders? So for us, that’s a huge piece of the puzzle because if we see individuals across all ages and stages, meaning our little fiddle parts with low tone, and we’ll notice that with the little kiddos, when they start it, particularly when they start, they should start to be sitting independently about six months or so. Um, and if they have poor core tone, poor stability, they’re having to have a hard time sitting independently. And that goes all the way up to our older kiddos that might have a hard time balancing. Um, we put them on a balance pad or a wobble board.

They have a hard time maintaining their posture, or maybe just balancing on one leg. Um, and at two are adults. Okay. So postural instability, if we see that in our clinics, that is a sign of poor sensory regulation. It’s a sensory motor loop. So sensory input comes in. A motor response comes out in this case. Our motor response is our core postural tone. Okay. So we can use simple messages like these to educate our practice community and our community as a whole, as to why chiropractic is so important when it comes to processing our sensory environment. So again, ChiroSecure, you’re amazing. You’re awesome. You’re putting forth some incredible information and platforms for us to share a message. So on behalf of me, we thank you very, very much. So I have a saying how we perceive our world shapes our world and it shapes our response to our world and everything and everybody within our world.

So let’s break this down and, and really kind of dive into what this means and what it looks like in your opposites. We have basically inside internal senses and extra or outside Sensus. So our outside senses are our sight smell, sound, taste, touch. They come from the outside world in, and those are very well known when you talk to teachers and parents, they get that, they understand that, but we have our internal world, our interoceptive senses amongst those are things like distibular our sense of balance of where we are in space, where our head is in space. Being able to be upright against gravity and maneuver through our space against gravity that comes into play after birth. And after that little fiddle fart as an infant experiences, gravity against them appropriate reception information from our deep joints and our muscle spindles, huge for chiropractors, right?

But there’s other internal senses that we should be aware of. Um, sensations that from our hormones, from neurochemicals, from neuro-transmitters, from our microbiome is a huge one. Um, our immune systems, uh, what we call site, okay. W when immune cells spit out, um, anti-inflammatory or pro-inflammatory chemicals, all of these give, um, give information to our brain about what’s going on in our, outside, in our inner world, so we can respond properly. So it’s the ability to take in organize, integrate, and adapt, and respond to our sensory world. And that’s really how we’re going to behave and respond to people and places in our environment. So from the neurodevelopmental world, especially from the neuropsychiatric world and from the world of, uh, metabolic disorders, this is the fundamental basis of disease. So we should be mindful of our inner and outer senses.

It is one analogy that I give, um, I just did this this morning actually to somebody. So we respond to our senses academically, socially, emotionally motor skills and metabolically or physiologically. So let’s give you an example. Um, academically, when I have, if I cannot organize, interpret information coming from my eyes, let’s say, um, into my brain, coming to where my head is in space, because all these systems are happening at once. It’s like, um, it’s like a computer. Um, we’re all into, we’re all hear about artificial intelligence now. So I just did this this morning. So artificial intelligence, a computer is about collecting data. It’s all about collecting data and information and putting this data together and creating a big picture and, um, and getting a, uh, integrating all this information in order to give who’s ever using this information, um, the appropriate information to respond to.

So we know this with regards to things like Facebook, like some of these social media platforms, where they clapped off as data and that’s data that is used to, to create a response to the data, sensory motor, so to speak. If we’re talking about the brain in order to target certain markets in our brains, as humans, we collect this data, the sensory data, it’s a, it’s a subconscious thing going on all the time, just by sitting here, listening to me or me sitting here talking to you, my brain is collecting all this data about the status of my body and my environment. And it’s on a subconscious level. It’s bringing in this information just like we would into a computer into this matrix, this neural matrix, collecting the status. It’s split seconds in order to respond appropriately. So back to the ways we, we look at this in our clinics or in our environment and our school setting in a developmental setting, whatever, academically I’m sitting in school and collecting my brains, collecting all this data about my sensory environment, and I should perform a proper motor output response.

Let’s say I’m doing math. Okay. So sensory input in I’m able to compute this problem. My eyes are working my visual systems working properly, my head, my vestibular systems, I’m working properly to hold my head upright and space so I can interpret what my eyes are taking in my, um, I’m using, I had good proprioception for my hand, uh, to hold a pencil and write and respond and work out this math problem. All this is going on. So academically, what we might see is a poor and ability to respond to an academic task that is poor processing of our environment. Socially. It might mean that I am not socially responding to people appropriately. I can’t read cues for people, their facial expressions, et cetera, and masking, believe me. We are starting to see the data now from this last 20 months of chaos about masking and about this, um, inability, especially with kiddos to read social cues.

So socially, if I’m not, if my brain isn’t able to collect this data, this sensory data from all these sensory systems, I might not respond to a person one-on-one in appropriate social manner, but I might not respond to my social environment. Meaning I might not collect cues from my environment to socially respond in a proper way when, uh, there is a threat and that I need to get out of the way of that threat. Emotionally, I may not be able to collect the sensory data, organize it, interpret it, respond to it in a proper emotional fashion. I E I might continue to have meltdowns when it’s not necessary for me as a child or as an adult to have a, have a fit or our temper tantrum or lose my temper motor. Skill-wise what may, what might see when my brain can’t interpret all this sensory data is not knowing how to use my body in space of prop appropriately to move my hands together at the same rate and timing to catch them up.

Um, I might not be good at sports or like to be on the playground and playing during recess. I, um, might not be able to move my tongue of prop appropriately. And I have difficulty with speech or handwriting. This is poor, um, processing of my environment in order to make the proper motor response, and then physiologically. This is a big one that gets missed a lot physiologically. It might be my body is not interpreting my own internal status, uh, through, uh, thermal regulation. I don’t know. I need to sweat in order to detox. My brain is not getting that information. Uh, I don’t know. I have debt. Peristyle assists to have a bowel movement. Thus, I get constipated impacted, and now I have all these toxins in my body. I might not know I have to have a, uh, urinate. Okay. So these are all things that we should be able to collect this data on a subconscious level.

And they, my autonomic nervous system automatically adapts to what it needs to do. Um, and again, that physiological one is a big thing that gets missed. So these are the little fiddle farts that maybe constipated a lot that, um, they’re immune. They don’t spike a fever because your immune system is not communicating properly and they don’t spike the fever to thwart off whatever the pathogen is. So it’s all about data collecting sensory awareness into the brain so that it gets organized, interpreted. Um, it’s integrated one system, dysfunctional, all systems are thrown off. It’s a circuitry, and therefore they can’t respond appropriately. So using this a graphic like this in your office, or even talking to parents like this, that it is data collecting from our external and internal environments where the brain interprets the status of the body and its environment. So it responds appropriately that isn’t happening.

We might see X, Y, and Z on the little fiddle parts. Now, the cool thing about chiropractic care, I can’t even remember what slide I had next is that, and these are means that I have associated with my intersect for life program, but they’re very simple and they bring the message home to how we as chiropractors fit into this picture. The cool thing is that we know that there is solid scientific evidence that chiropractic adjustments change the way the CEO of the brain, the executive functioning part of the brain interprets sensory input so that we can better acknowledge and interpret the needs of our body, where our body is in space, how to respond to that information. If it’s coming in too fast and furious and too much sensory chaos, it’s like a sensory storm. It’s just, these are hyper sensory individuals. It’s too much. They want to just shut down and hide. If the input isn’t coming in enough, I just had a patient. That’s another patient that just left here a few minutes ago. Let’s face it. The last 20 months has been a little bit chaotic.

And what you said was I don’t even, I’m not even aware when I have to urinate or did I even have a bowel movement or urinate because of the stress load. When the stress load comes too high, this prefrontal cortex area, it flips off it’s offline. It’s the computer is gone, okay. The computer’s off flood control and be aware, and that consciousness of, of our body and its needs. And so we might not get pinned, so to speak, get the message that we have to go to the bathroom. Think of the kiddos who have chronic enuresis issues, bedwetting past the age of five, it’s becoming more and more common when there are stress sores on the system that overwhelm the system, the CEO of the brain, the master control of the computer shuts off and dysregulation of all this information and sues. So the cool thing is we know that that adjustment brings back online, that executive functioning and that part of the brain is responsible for impulse control, um, reasonable abilities, rational abilities, motor responses.

So the kiddos, especially the kids with fine motor issues. By the age of one year, those little fiddle parts should be able to have what we call pincer grip, okay. Getting their thumb and their index finger and pinching, pinching things like Cheerios, and be able to pick them up and put them in their mouth. If we don’t see that happening, if we don’t see some of these fine motor skills coming on board, we have to think there’s a miscommunication between the information coming in. It’s not getting organized, interpreted so that that proper motors response of the brain can drive information to the hand, to properly move these digits, to pick up that Cheerio. If we’re not seeing these things, we know that there’s a, a mismatch of what’s going on from the brain to the body and the body of the brain, which leads me to one of the key ways that I explain this to older fiddle farts, that I work with kids that are 6, 7, 8 years old and older, and they get this and they will tell me, check my spine, okay.

Check my spine. I just me, because I want my brand to talk to my body and my body to talk to my brain. So when they asked me, why are you checking me? I say, because I want your brain to talk to your body and your body to talk the brain, just like a computer. So it works as healthy as, so you can feel happy. You can, um, you can learn, you can pay attention. And these are the things that kiddos that can’t do. Those things are thriving for. So they’re all about coming in, getting checked, connecting their body, the brain and the brain, the body. So, one way that I explain this, I use this graphic pretty simple. It’s an airport. I’ve spent a lot of time in airports. So that analogy worked for me. This is based off of a true story. And what year are we in January, 2020 before all this chaos started, JFK and airplane was coming in for landing.

Now let’s send some of you may have heard this analogy before, but it’s great to hear it again because the more you hear things, the more syllabi syllabis in your brain, the more you can repeat it to your patient base. So this brain’s coming in, this plane is coming in. I E we’re going to refer to that as the body in this, in this scenario, it’s going to land at JFK. Let’s say it’s flight number 5 22. That’s a flight number. So the brain needs to talk to the brain up here, the cell tower and the brain needs to talk to the body. It’s a two way communication. So the brain in this scenario tells the body of the airplane flight 5 22, you’re cleared for landing. However, stay short of runway seven. Cool. The brain is directing that message to the body. The body needs to respond appropriately.

It needs to, um, to receive this information and respond appropriately. In this case, the body of the airplane, the pilot said, Roger, like 5 22 Claire for landing left off, did not interpret, did not hear, did not register a very key point that it was to stay short of runway seven. The reason for that was because there was a plane getting ready to take off and barreling down that runway, which could have caused a total catastrophe. Hundreds of lives would have been at stake here at risk. So thank goodness in this scenario, the brain picked up that the body lacked, interpreting getting this information, uh, and, and halted the plane from taking off, which Holton’s catastrophe. Here’s your take-home message for your PA your practice community. If we don’t have a connection, a good connection from the brain to the body and the body of the brain, some type of catastrophe, this miscommunication result in various type of consequences.

In this case, we diverted potential hundreds of lives being at risk here. And that’s what the adjustment is able to do. We’re better to connect the messages coming from the body, to the brain and the brain, to the body, to respond more appropriately to its external and internal environment. And that my friends is huge. That is hands down the fundamentals of proper neuro development for physical health, mental health, and emotional wellbeing. Cobain’s right. So feel free to use these scenarios because they’re very easy to understand and put it into play in your practice community. I want to end with a cool video that will help kind of, um, summarize this and give you some key talking points for your practice.

Sensory processing disorder is a complex disorder of the brain in which the brain has trouble receiving and responding to information that comes in from your environment, both your external and internal environment, some of your internal interoceptive senses include proprioception. The internal sense of awareness of the position and movement of your body. The proprioceptive system sends messages to the brain, through the joints of the legs, arms and spine, the stipular, the inner ear spacial recognition, and what keeps you balanced and coordinated. The vestibular system is regulated by functions and the upper cervical spine neck, the inner ear, and the base of the brain or cerebellum. Neurovisceral the sense of what is happening to your body, including the feeling of being hot or cold, as well as feeling an emotion. The neurovisceral system sends messages to the brain about the state of internal organs in order for proper physiological responses to take place your five external senses, sight, hearing, touch, smell, and taste.

Sensory processing problems are usually identified in children, but they can also affect adults. Sensory processing disorder often presents as an over sensitivity to things in the environment. Common sounds may be overwhelming. The touch of clothing may cause discomfort to the skin. Some other signs of sensory processing disorder include being uncoordinated, unable to sit still bumping into things, inability to tell where your limbs are in space, difficulty, engaging in conversation or play healthy functioning. The stipular and proprioceptive systems are essential. Developing a healthy sensory processing system. Since these two sensory systems have functions regulated by input from spinal areas, it is important children and adults with signs of sensory processing disorder, be evaluated by a family chiropractor for vertebral subluxations, misalignment of the spine that may be causing interference within the brain and sensory systems. Brain health depends on a healthy spine, thus making spine health, a priority, make chiropractic a regular health habit for the whole family to ensure your spines and brains are working the best they can to learn more connect with us.

So again, a very simple message, um, of helping your, your community understand that connection. So I’m gonna wrap this tie this right back round to that first slide by you recognizing that simple things like pastoral issues, poor posture, slumped posture, technic, posture, babies, not being able to be on tummy time and get up into extension babies, not being able at six months to sit independently. All these are signature signs that that individual has difficulty processing their, their environment and input is not leading to the proper motor output. So simple thing you can do is look at their motor skills, um, and, and being able to understand that and understanding that the adjustment is critical for bringing online the ability to process our world. In fact, one, um, amazing study by Heidi Haavik out of New Zealand, um, chiropractic college looked at the spinal or showed the spinal adjustment, had an increase of 45%, uh, brain cortical to body, to the lower limb affect it, basically affected and had an increase of 45% increase of strength in that lower limb that is telling us that we can help the brain and the body connect so that the body can better proceed and work in space.

So this is what is exciting. This is the, this is where chiropractic is going. It’s going to this brain-based model of care. So hopefully you enjoyed that. Um, and again, ChiroSecure. You’re amazing. Thank you for all the work you’ve done for us. Um, and giving us this platform to bring you, um, cutting edge information for, to, for you guys to share in your communities. Um, and until next time I look forward to seeing you all the third Thursday of November, I’ll have to check my dates for Thanksgiving there. And third, Thursday of November, and you will see Erik Kowalke the first Thursday of November for more incredible information. And until then me and Elizabeth wish you all a happy Halloween and, um, stay away from that spooky candy and look for alternatives for your little fiddle farts to give them, um, you know, Amazon’s got great toys, uh, to give out as treats. Um, lots of times the dollar bin at target at Walmart. Those places are great places to get things other than those sugary, uh, dilated and substances to get a little healthier spin to, to Halloween. Um, again, thank you all and enjoy the rest of your week.

Today’s pediatric show to the children was brought to you by ChiroSecure.

Empowering Women in Chiropractic – Developmental Consequences of the VIRUS

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  We suggest you watch the video while reading the transcript.

Hi, it’s Dr. Monika Buerger and Elizabeth, to here to greet you for another amazing episode of ChiroSecure’s, Look to the Children’s show. And again, um, we want to thank ChiroSecure for giving us this platform to share our message and, um, help you help more little fiddle parts around the world. So thank you very much to ChiroSecure with that said, we are here to bring you an exciting episode, um, of what you all need to know about what we’ve been through in the last 18 months. Elizabeth, how’s it been for you? Well, actually, Elizabeth wasn’t even boring when this whole crap storm started. So Elizabeth is going to bring you what she knows about what it’s like to be, um, in the fetal growth, prenatal period, and jumping into the world of chaos that we’ve, we’ve dealt our, uh, that we’ve found ourselves in.

So you’re ready to go, girlfriend. She’s ready. She’s ready. And, and if you note, please note that Elizabeth has a new wardrobe. Um, she is part of the former Partridge family tribute band. If you are too young to remember the Partridge family, you can look that one up. So we’re going to get started here. Um, and we’re going to go through some slides and again, thank you to ChiroSecure for giving us this platform. So what do we want to do? I want to take you through what we know before this pandemic and what we know with regard to, um, natural disasters and pregnancy, because this is going to lay the foundation of what we’re dealing with now. So we know from various different, um, natural disasters and challenges from the Holocaust to floods, to earthquakes to the big one is known as project ice storm.

So you see that little graphic of the frozen, uh, power lines there. Um, what they know is that they, they were able to take natural disasters as a marker of where women were in their, um, prenatal experience. First, first try second try third tribe. What they’ve consistently found is those that are in the second and third trimester, the offspring of those women pregnant during that time had more, uh, predispositions to depression, anxiety, PTSD, cognitive delays, and with the project I stormed, that’s a big one that happened in Quebec, Canada anyway. Um, but what they did was they follow those offspring. And in one particular study, they found that as far out as five and a half years later, um, these kiddos were five and a half years old. They had language and cognitive impairment delays. So we’re going to take this as a basis and lead into what we’re, what we’re seeing now in the research with the pandemic that we’ve all been experiencing.

So early on in the pandemic, they looked at moms and their stress predictors. There’s their, their stress scores. Now this was back in June of the years are all running together, 2020. Okay. So just early on in the pandemic and what they’ve found that moms pre pandemic time, we’re reporting about a 29%, um, anxiety, uh, level. Okay. Basically 29% of pregnant mamas had reported clinically, uh, associated anxiety. Whereas this is in June, which those numbers are expectantly have gone up because the longer something’s going on, the more trapped in our brain and our AR and limbic system, we get. So, um, post pandemic here was 72% of pregnant women reported, um, levels of anxiety, clinically supportive levels of anxiety and 65% ish, um, reported decrease in exercise levels. Now hold onto that thought for a minute, as we go through the rest of this, um, informational presentation.

So depression, anxiety definitely elevated in everybody, but why is it of significant importance in pregnant women? It’s because what’s the long-term implications on the offspring and that’s really why we’re here today. So let’s, um, another more recent paper came out with regards to the pandemic and mother infant bonding and breastfeeding and PTSD, much higher reports of, um, childbirth PTSD. That’s what you’ll see in the upper pink, uh, little circle right there. Um, that stands for childbirth PTSD. This has been due to the, mostly to the unknown of pregnant women. Are they going to be able to deliver with a birth partner? Um, the biggest thing that they reported with regards to PTSD in the childbirth experiencing experience during the pandemic has been failure of communication with, um, their care providers. So the care providers during their birth experience, pre-birth experience not knowing what they’re going to be allowed to do and not to do.

And during their birth experience, um, was the number one thing reported with, um, childbirth PTSD. But what we’re seeing is there’s, um, decreased mom, baby infant bonding short-term and long-term, and this is going to play out with what we’re finding in regards to neurodevelopmental consequences. Long-term on the offspring, just like what was reported in those past natural disasters and in that research paper on that project ice storm. So, and then we know breastfeeding can lead to, um, a number of immune consequences on the offspring. So let’s keep this in mind as we move forward and lay this all out for you. What we’re finding now in a recent paper. And I think one of their, their summary statements is what hit me so profoundly where they stayed that the COVID-19 pandemic has fundamentally altered children’s health landscape, the landscape of children’s health. Overall, this is huge the landscape for pregnant moms, for individuals, for children, because we’re living in a totally different economic, psychosocial, educational environment, an entirely different environment as a whole.

When you look at psychosocial stressors, essentially what those are, they’re everyday stressors that everybody experiences, okay, there are stressors that we all have, but during pregnancy there’s additional stressors that that parents to be have. And these stressors are laying the foundation, um, uh, they’re imprinting on the offspring’s brain. So with a couple of studies coming out in relation just to this, this pandemic that we’ve been dealing with, and, um, in this particular paper, they looked at a little over almost 300 children that were born, um, before January of 2019. So their prenatal experiences, their prenatal time and their first postnatal year was pre pandemic versus the other group, uh, about 118 little fiddle farts that had at least one trimester in the pandemic era. And this, in this case, it happened to be the third trimester and one year postnatally during the pandemic prices. Now, why is this important that they, this particular group happened to be prenatally in that third trimester of, um, development of fetal development, because we have found that that second and third trimester is when they’re, when mom’s pregnant, mamas are under the stress sores. Those two trimesters happen to play a profound role in longterm developmental consequences of the offspring.

And for us as chiropractors, what is really incredibly important is to realize that the end of the second and into the third trimester is the developmental window of opportunity. The developmental time, the maturation of the autonomic nervous system. That is key for us to understand that that end of the second and third trimester is when the autonomic nervous system is maturing. I E bagel tone is coming on board. The parasympathetic arm of autonomic regulation is maturing. So key takeaway is stress, or is that happen during that time, fundamentally lie down the maturation or dysmaturation of the offspring’s autonomic nervous system. So this paper goes on and what it tells us not to any surprise is that, um, these children were, um, more susceptible to having verbal motor, um, and cognitive impairment. So we’ll look at the next slide where we have this laid out is the group that was, um, in pregnant and then spent their first life postnatally during this pandemic.

This pandemic time showed a really significantly reduced verbal motor and overall cognitive performance. This was unassociated with actually having COVID with mom, dad, any baby having COVID. This was strictly from environmental stress consequences. Now, remember that last, the one slide we showed about the project I storm, they follow these little fiddle and that particular study up to five and a half years of age they’re in school already. Right? So we’re ready to seeing the consequences of what’s happened. Verbal motor and overall cognitive performance is significantly reduced. They saw this more in males with a lower socioeconomic environment. Um, and again, this was independent of having the virus. They did not. In fact, they tested for antibodies. They did not show any signs of ever having the virus. This is purely environmental consequences. Now think about that little longer, the stressor goes on the more substantial numbers we’re going to see, um, presenting to our offices with these, these development of consequences.

So I want to give you some things that you want to look for to help the train before it derails. Okay. How can we intervene in a, as early as possible, but wait, there’s more, I want to bring to you the next slide, where we talk about, um, a, a group in Portugal, Portuguese children. And this was really cool because what they did was before shutdowns happen, they took these children 114 school-aged children. The average age was seven, and they did a series of motor competency, um, tasks. And they were, they were planning to do a different kind of study, but then the pandemic hit and there was shutdown. So they use the data, they had pre pandemic pre shut down, looked at these kiddos, their comp, their motor competency scores, and then did it again after they’d been locked down. So they had 50 boys, 64 girls, um, and they showed as a consequences of lack of movement of being locked down.

What we do also know from the literature as there has been a much higher rate of sedentary lifestyle technology use video game use, all of which are, um, going to impose consequences on the developing brain. So they, they took these kiddos and they did, um, three different, um, types of motor competency skills. One was stability, how well they maneuvered laterally on a wooden platform. Could they step side to side on these wooden pegs platforms? How well they handle that? The next one under our stability, uh, sequence was could they sideways jumping over a small platform? Okay. So that was one skillset. Then their locomotion, um, basically, uh, what they call the shuttle run or a sprint. They had to go from one line to another, as fast. They could pick up a block and bring it back to the home line. They did that twice, um, standing long long-terms and then what they call a manipulative skill one where they had to throw a ball as hard as they could against the wall and, and one where they had to kick a ball as hard as they could.

And they looked at, um, basically force and speed. All right. So that pre pandemic after lockdown and what they found that they had boys showed a 13 point decrease in motor competency and all of these six skills. Well with boys, it was five out of the six. They showed a decreased competency score. The sideways jumping did not, um, tend to decrease in girls. They saw a 60 point decrease in all of these six competency scores. So what’s the big deal. Okay. So their motor skills went down, big deal. They’re low comes here, whatever decrease motor competency means, decreased brain function. The brain is sending the messages down to the body in order to have the ability to do these skills and essence, there was a, more of a disconnect, a disruption between body to brain and brain to body messaging. And that showed up in these competency scores.

So decreased mobility equally basically equals decreased brain ability, brain processing. All right. So what do we want to look at? Let’s think of, let’s take some things and, and it’s kind of let’s think this through a little bit. Um, so we’ll look at the next slide and think it through a little bit motor wise, you see in the middle, the motor ability for us to perform a motor task is really associated with prenatal stress and neuromuscular development, gross motor core trunk. That’s why this little picture of the tree right here, the tree trunk we develop, we mature from a neuromuscular standpoint from medial to lateral. We have to have good core gross control before we get my fine motor control. So the tree trunk has to mature and be stable before the leaves and the branches can be healthy. And this is going to be associated with prenatal stressors.

If we have good motor input, we have good brain food, essentially bring brought to the cerebellum and the prefrontal cortex, cool beans. I’m getting good motor, a ability that’s feeding food or information into my cerebellum and prefrontal cortex. And those areas are responsible for cognition. So it stands to reason that if mom is under a lot of stress during pregnancy, and it alters the course of motor development, neuromuscular development cognition down the road is going to be affected like we’re seeing now, the other thing is we have to have this gross motor, the tree trunk, um, and maturing and fed information and stimulated before fine motor can come on board. And that would be our verbal arm here. Verbal skills are going to be a lot of fine motor skills. If I don’t have a good tree truck, core stability before mobility, I’m not going to have good, fine motor skills, and that’s going to affect language and fine motor.

But we also have to bring into play masking here in that first year of life. It is critical that that little fiddle fart makes eye contact and sees expressions, eye mouth. That connection with mom, that bonding connection actually helps mature the prefrontal cortex, the motor part of our brain. So we’re going to see these motor sequences, this motor maturation dysfunctional, and our offspring when mom’s been stressed out and who the heck hasn’t been stressed out in the last year and a half. So it stands to reason we are seeing what we’re seeing in the studies that are coming out now. So how are we going to interplay here? How are we going to intervene? Let’s take a look. Let’s take a look at mom. First things to do for mom. Things to think about. Obviously get mom under chiropractic care, enhance her adaptability, enhanced her resiliency.

Talk about some stress management tools with mom. Okay. Expecially going to be critical in that second and third trimester. You guys huge one going to support the microbiome because the microbiome is one of the key inner sensations. And we know now paper after paper, looking at the microbiome as part of brain development on the offspring mom’s microbiome and baby’s microbiome. So get her supported there and how we do that with our diet jerk fit and not junk it, just eat real food. Try to get out of that stress mode of eating and eating junk food and processed food. So jerk, but just eat real food, support her during the enter stress responses do not big red flag right here, do not support with anything that has licorice in it. It’s going to do a negative effect on baby’s development. So just know that, okay, improve heart rate variability.

How can we do that? Well, getting her adjusted, we think helps decrease that stress load. That also exercise we showed you that that one slide showed about a report of decrease in exercise in the early phase. The pandemic, we know that maternal exercise helps increase baby’s heart rate variability, their maturation of their nervous system. Okay. So talk to them about exercise, even if it’s just walking every day, exercise like yoga, polite is meditation. That’s going to bring on board calm and a balance of the autonomic nervous system. Common Monica’s common baby equals a more mature nervous system in baby. So some very basic things to do for mom, but now let’s look at things to do with baby. What do we want to look for when baby comes in? Of course, chiropractic care, same thing, enhance their neuro adaptability. Okay. We’re going to look in a minute at some what I call brain bonding, brain building and bonding things.

Okay. And I’ll show you some pictures of those you guys. We’ve got to look at that microbiome. These babies are born being born, stressed out. They’re more collagen, more irritated. They’re not pooping. All right, look at supporting. Even if it was a vaginal birth, most microbiomes are in the tank right now, stress equals a shut down microbiome period. End of story. Can’t be an arrested digestive stress date. So stress equals a shut down microbiome. We need to look at supporting that tons of evidence and research as far as good probiotics, a multi-strain probiotics to help support brain development and the baby.

And in that enhancer vital environmental exposure, there are environmental exposure to wet. We’ll take a look here in a minute, basically enhance their sensory environment, get them engaged in the world to help build those brain pathways and their motors or sensory motor experience. So let’s take a look with some, some pictures that Elizabeth, she posed for me got to love her. So in the far left side, okay. Getting eye contact, seen mom dad’s caregivers face, and their expressions is huge for many neurological reasons that we don’t time to go into here, but just know that this is maturing their brain. So get them on eye contact. I have just a picture of here. Elizabeth was in a beanbag chair. I was helping her stay up, right, because she has a little bit trouble with core stability, but, um, get those little fiddle parts of her, uh, again on, on, uh, being bad chair.

The second middle picture, when they get a little older, um, they can be up in, in mom or dad’s sitting kind of on their, on their knees, on their lap. Give them some more, um, challenge of sitting on their own for more core stability. But again, you’re in positions that have eye to eye contact and mouth expressions. This is huge for neurological development. Have parents doing this little, these little tips and tidbits for brain development. Okay. What you don’t want to do is the far right picture masking. And breakfasting, you can’t really see my hand, my arm right there, but I’m holding a cell phone as a demonstration. I call that breakfasting moms being engaged with your little fiddle fart when you’re feeding or when you’re holding their sleep, it will, hopefully they’re awake. You want mask off, let them see your expression, be engaged with them.

Don’t be on the phone watching TV or breakfasting texting on the phone, be one-to-one and bond with a child. Bonding is brain building. It is setting up the executive functioning part of the brain for cognition, that prefrontal cortex for the life of that child. So please let’s advocate to, um, our caregivers. Moms are usually the one that going to be doing the breastfeeding. Right? Okay. Um, let’s advocate that time as a one-on-one to build that child’s brain, it is bonding, but it is brain building. It is huge. Now as little fiddle, farts gets older, some fun things to do around the house. We’ll take a look that Elizabeth posts for you, some things we did around the office yesterday. So the next slide will show that let’s get some movement and motor, okay. As they get older and, and develop that core stability again, that gross motor control before they bring on fine motor control, get them in a little, a little tub.

You can do it in a box. You can do it in a little storage tub from target or Walmart or whatever. I just threw some bean bags in there. Some fluffy bean bags that you can have mom or dad put in there, um, that the packaging popcorn, little styrofoam daily WAPs, you can put, um, rice or beans or whatever, just make sure they don’t eat it, but you can stick them in there and you can stick them in there and their diaper or new for more sensory experience. Um, and you can actually tie a string or something, poke a hole in the container and tie a string around it and move them around, pull them that creates more input to their brain, especially distibular balanced input. It creates them having to do use more core control. All right. So more motor control with movement. It gives them a sensory experience.

Um, and it’s fun. All right. So that’s a cool thing. Cheap, easy, um, easy way to, to, to engage them in their environment. This other picture is Elizabeth on a snow, on a snow sledding disc. Again, you can feel that disk with different sensory toys or whatever. I put a little, a folded way to that blanket, just so we could show how Elizabeth can come up and to tummy time there, you can poke a hole on that tie, tie string around it and bleed them around the house as well. Older kiddos and the family can do this with younger siblings, create this experience. You’re getting sensory input into the brain. You’re getting motor control challenges. You’re getting tummy time and creative ways. You’re getting it as social engagement experience. Again, these are things we can easily give as activities for parents to do in the office, um, to enhance their sensory experience, to enhance their motor development.

And when you’re doing that, you’re actually building and enhancing their ability to, to develop, to, to mature their cognitive part of their brain so that when they enter, um, preschool and kindergarten, so forth, the lack of verbal cognition motor, um, we’re going to change that tide. All right. So hopefully this will give you some good things to chew on for a while. Elizabeth, anything else you want to add? She’s back. Um, she sits so patiently with me again, both of us want to thank you for joining us. Thank you, ChiroSecure for giving us this platform. Um, and thank you for all of you out there, willing to step and, um, educate yourself so that we can enlighten it and educate the world on the, um, the amazing gift that we have to give for generations to come. So I will see you next month. Erik Kowalke will be here the first Thursday of, oh my gosh, what October? Um, and I’ll be here the third Thursday of October to wish you a Happy Halloween and until then stay safe and keeping amazing

Today’s pediatric show Look to the Children was brought to you by ChiroSecure.

Empowering Women in Chiropractic – “Car Seat Crazy, Colic & Chiropractic”

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  We suggest you watch the video while reading the transcript.

Hello everybody. And welcome to the ChiroSecure’s Look to the Children’s show. I am Dr. B and this is Elizabeth. Say hello Elizabeth. So we are here to bring you a, um, a cool many lectures of this week on car seat crazy, chiropractic and Colic. And we are going to spin colic from a different angle. Aren’t we Elizabeth? We sure are. So Lizabeth, um, has asked me mom that, uh, next time I get her a cool outfit to wear because she’s tired of being seen in their diaper. So I apologize for that everybody. So Elizabeth has been sit here with me and make sure I do my job, right. Um, and we’re going to have a little bit of fun today. So car seat crazy, colic and chiropractic. How are we going to spin this around? You’re going to see in just a few minutes, but first of all, I want to thank ChiroSecure for giving us this platform, um, and giving us a way to share this information with you, um, and all the, all the amazing chiropractors out there.

So, uh, thank you, ChiroSecure for that opportunity. So we were going to go to, uh, let’s Jimmy jam and look at w we got on the next slide coming down the pipeline. There we go. Thank you, ChiroSecure. All right. So why did I tie together colic and car seat crazy. Wow. We’re gonna find out just a minute. So first of all, I love to ask this question when I lecture live and one day maybe in the, hopefully not so distant future Elizabeth, and I’ll be able to go on the road again, but colic, I want you to remember 3, 3, 3, or I should say 3, 3, 3, 3 colic. The definition of colic. It’s so funny. I asked chiropractors, do you think we affect, we have the ability to affect college and everybody raises their hand, like, yeah, yeah, yeah, yeah, yeah, yeah. And then I turn around and ask the question, what is colic?

And I see these still faces just like a donut. So the definition of colic is inconsolable crying for three hours or more a day, three days a week for three weeks. That is the definition of colic. The definition of colic isn’t necessarily a GI issue. Um, but it’s kind of morphed into that. Colic means GI issues and spitting up and GERD and things like that. And constipation not necessarily, not necessarily. So, um, so we’re going to see, um, a little different spin on that today. So let’s Jimmy jam and get started. So some associations with colic, my slides got a little goofed up here and I’m going to need my old lady reading glasses. Um, dietary considerations, cows milk is a big one. Um, that’s associated with colic, uh, neural behavioral, neuro developmental challenges later on in life. So lots of times we see college as one of the, um, factors that, um, as associated later on with neurodevelopmental challenges, um, very difficult temperament as a baby.

Now keep that one on your back brain burner for just a minute. As we dive into how this relates to the car seat, um, hyper responsivity to sensory stimulation, this is where we want to dive in today with regard to colic and the stipular system. Those of you that have heard me, uh, lecture over the years know that I, I have a fetish for a few things. One of them is a Steeler system. One of it is a bagel, the bagel Turner’s Vegas nerve. Um, so we’re gonna talk about the vestibular system in particularly today, uh, GERD, gut dysbiosis, obviously, um, migrants. My grants have actually, um, been highly associated with, um, colleague. So, and there is this association that if mom had migraines, we might see more colicky symptoms in babies. Now I don’t have time to dive into the whole rabbit hole between all of those connections with migraines and the gut and colic, but there are a lot of, um, a lot of interacting overlapping factors there.

And, um, we’ve shown that there are studies that show that B2 riboflavin helps with migraines, which can also help a colleague. So just a tidbit there and dysmaturation of the autonomic nervous system. So we’re going to dive into hypersensitivity of the vestibular system chiropractic and colic bada boom, bada Bing, bada bang, bang. Let’s do it. So the simplest system of, here’s a paper that came out earlier this year with it. It was a chiropractic study, um, and looking at kiddos with colic and the vestibular system. So that’s what I wanted to cover today. So let’s look at, I want to look at five factors that this paper looked at with regard to colic and vestibular function. So they asked parents, they took 120 symptomatic colicky babies and 117 asymptomatic. And they asked the parents by particular questions. And we’re going to look at those questions in just a minute.

So let’s, well, let’s do that right now. How about that? So what are these five questions they ask? All right, number one, does your baby calm down and or fall asleep when they’re riding in a car? Now, a lot of parents are used to taking the fussy baby out in the car and that puts them driving around forever long and that calms them down and puts them asleep. But what they have found with quote unquote, colicky, babies, remember colleague is just this inconsolable crying. I shouldn’t say just cause it leads. There’s a lot of, um, consequences as a result of, uh, these inconsolable little fiddle farts. But with, with those that, um, had quote unquote colic, they did not console necessarily when riding in the car. So that was one of the questions. Another question was, um, does your baby calm down and fall asleep when they’re held against mom or dad’s chest?

Okay. Or cradled in the crook of their arm? Yes or no. Um, so they, the kiddos that were diagnosed with colic question number one was a no, they did not calm down while riding in the car question, number two, they were not necessarily consolable in that fashion as well. Question number three, when your baby’s falling asleep, cuddle against your chest, you cannot lie them supine in the crib without them waking up and crying. So they take it from here and be able to lie them down that would tend to with those [inaudible] group, wake them up. And again, they went into, into inconsolable crying when question number four, when they’re asleep, um, baby can wake up with a scream and showing symptoms at that Moro startle reflects. That was a consistent finding with those in the colleague group. And question number five. Um, the baby is much more comfortable lying in an inclined position than in a Crip.

And so we all, um, especially with that in pine position, that’s something that we’ve looked at, um, regularly with GERD and colicky symptoms and so forth because when we lay them flat, there’s more chance of the reflux happening. So I think this connection between GERD and reflux and colic, it just kinda morphed into one. But what we want to look at is what do all of these questions also have with regard to vestibular hypersensitivity? So that vestibular system is us being up, being able to be comfortable and upright against gravity and feel comfortable in our environment. Um, we don’t have gravity where anti-gravity, when we’re in mom’s tummy, right? And then we pulled out we’re into this world. Now, all of a sudden we’ve got to adapt neurologically to gravity and what that feels like. And if, if that can’t happen, then that little fiddle heart may be hypersensitive to the feel and the way their brain is, um, experiences their environment against gravity.

So they took 120, um, symptomatic kiddos and they score them. Basically, they got 1.4 if for each one of these questions. So each one of these questions that was positive for that particular child, they got scored on it on a scale from zero to five out of those 120 all of them. But, uh, two we’re either a, um, scored between a three and a five. So all of them had positive findings, but two, then they had 117 control group and 89% of them scored zero or 89, excuse me, 89 out of 117 scored zero. And the rest scored between a one and three. None of them scored on a four or five with these, with this specific scoring questionnaire. So the colleague group underwent chiropractic care. Yes. Okay. Twice a week for two weeks. So essentially just for adjustments and from the paper, it sounds as though they used a, um, activator type device

And the way the paper reads is essentially they were, um, using this device, I’m going to refer to it as an adjustment, but they were using this device on the upper cervical spine. Okay. And which is going to have a huge regulatory input of a stimulator information into the brain. But in the paper, they stated as to relax the upper cervical muscles. So essentially this activated device to the upper cervical spine to relax those upper cervical muscles. Okay. Now of course we know when we’re subluxated, those muscles are going to be tighter. So again, if they’re using that device, they’re doing an adjustment appear. And so what they found was, again, two adjustments a week for two weeks, they found that, um, rescoring the specific questionnaire, 111 of them went to a zero score, zero symptoms of, of this, of colic, his symptoms. Um, and, um, so there, the Steeler score went to zero and their colicky symptoms were abolished nine of them. Their vestibular score went down to the one to three range and they’re calling symptoms diminished. So what is the moral of the story here? Is it a GI issue maybe because that upper cervical spine is going to have a lot of involvement and, uh, and gastrointestinal bagel tone, et cetera, or is there a neuro expressive behavior of collagen is symptoms of crying associated with hypersensitivity to vestibular input.

So I want to take these questions and kind of guide go through of how that fits into this hyper vestibular tone. First one, when they’re in the car, when, when, when there’s movement happening and we have hypersensitivity to movement and busted tone that can, um, create anxiety and a feeling of fear and lead to crying. So that movement isn’t calming. Like it would be with a little fiddle part that does not have hypersensitive to movement and vestibular tone, the stipular input, um, a lot of kiddos that, um, like to be cradled and so forth and walked around and bounced. If they have a hyper vistibular tone, they’re not going to like that movement. So again, that does not console their quote unquote colicky symptoms. Um, when they’re lying flat. Now the, the, the change in head position, the moral reflex is sensitive to vestibular and proprioceptive input and some realms.

They, they associate that with being a vestibular based reflex. When we drop that kiddos head and they have a star reaction, and then they become inconsolable, that would be firing that vestibular system. So it stands to reason when you are, um, putting him in, lying down in, in these positions and taking them from here, by the way, when you have them here and cradled in, in the neck, in the neck of your arm and aren’t moving and they seem to be fine. If you have their head at a little bit of a tilt about a 30 degree, 30 degree tilt, it changes the input to the semicircular canals. So it’s more calming to that Pasteur system. So thus they will like that position as long as there’s not movement associated with it, then you take them and change that position and change up ellizabeth classic baby, that pulls hair, but you’ve changed that input to the semi-circle canals.

So again, upregulating that vestibular input and they get there. And consolable, so if you look at these five questions and you show that in the car seat, they’re up in an incline, a bit of incline. Again, it changes the input into the lateral semicircle canal. So they’re not getting that much firing about the studio system. So these positions are more comfortable, but we’ve always taken them to believe that these positions are also associated with GERD. So I get pinged a lot on social media and so forth. Like I’ve done all the things that we’ve given probiotics and enzymes that had mom cut out dairy. And because dairy is very much associated with colic and cut out gluten and cut out the bad step, but we’re still having issues with this, this cranky fiddle, fart, colicky symptom, baby, and maybe even constipation, because when they’re in a stress paradigm, when they’re reacting to this hyper vestibular load and in a stress paradigm, that’s going to shut that down. So we may be barking up the wrong tree at times, you’ve done all those things already, and you’re still seeing this, these colicky, inconsolable gut issues, let’s think the Stabler input. So what are we going to do about it?

Moral of the story?

What are we, how are we going to figure this out? What are we going to do well, but I want you to, obviously we’re going to adjust them. Okay. So that’s number one. Um, and cranial work can be very calming too, but maybe we need to help regulate up, um, uh, exercise that vestibular system. So now it can handle that input better. So let’s take a look at some things that we might want to do there. First of all, that moral reflex, um, the moral reflex again, should integrate to the four months of life. Okay. And it’s going to need, um, a lot of tummy time. Tell me time might be a good red flag indicator for you here because kiddos that don’t like tummy time, they’re not receiving that vestibular input. So when we got this little fiddle farts and tummy time, and they have to go into cervical extension, we’re firing input from the cervical into the brain, firing up the Steeler system.

Again, if they’re subluxated and these are tight, they might not be able to get in those positions. Or those positions are uncomfortable. What would have been fun in that study is to look at the little kiddos if they like tummy time. And if they were able to get into this extension. So one of your red, one of your indicators could be that they don’t like tummy time. They like getting an extension, thus not exercising, maturing, helping to fire up that the Stigler system. Okay. And one of the reasons they might not like it is because they are sensitive to that input and it makes them crazy brain. All right. Just like the car seat makes them crazy. So we want to look at, is that more reflux hanging out? That could be an issue, but we want to look at some vestibular and proprioceptive input before let’s say they’re cranky and a car seat.

I get pinged a lot. Like, what do I do about these little fiddle parts? Mom does. Ain’t want to bring them in to get adjusted because they hate the car seat. They won’t even come to the office cause they’re their car seat. Crazy. Have them do a little bit of a stapler and proprioceptive input prior to getting in the car, to come to prep that system. If we give them a little bit of a Stabler input, it has about a four hour override window. So sometimes you get about four hours to get your stuff done. And proprioception input lasts about two hours. So maybe you have them on a physio ball and just do linear, gentle, rocking, and prep that system before they get in a car seat. Okay. Um, before you adjust them again, fire up the system a little bit in a way that they can handle it, that’s calming, do some deep joint compression.

Okay. Elizabeth, you ready for this? She loves the joint compression. We just take her wrist and we pump it a little bit difficult to do on something when it becomes plasticized. Um, but you just take their wrist and pull basically distract and compress and distract and compress, and you’d give them some squeezes up their arm. Okay. And you give them some squeeze and deep joint pressure and calm that system down. And then maybe a little weighted rank blanket in the car, over them, over their lap. It’s going to be grounding for them. Okay. So some tidbits for the car, some tidbits for sleeping, do these things prior to lying them down, calm the system down about, um, when we look at gravitational insecurity with gravitational insecurity is they don’t like to be in positions where their feet are off the ground because they don’t get that feedback.

And in a car seat, they don’t get any pressure up on their feet. Um, and so that you’ll see that with those kids that are hyper vestibular. So you might want to put something, um, to where they, they ha they can put pressure on their legs or pressure on their feet. So they could feel their feet more and know where they are in space. Okay. Less and less of that crazy brain inconsolable crying. Of course we want to adjust them. Absolutely. And like I said, the Stabler appropriate susceptive input can be golden to calm that system down and to prep it for any activity. This can also be golden to have parents do prior to feedings, because if the system is calm, they can digest better. And now we won’t add that added insult of maybe actual digestive issues dealing with these colicky symptoms. So hopefully this information was helpful.

And I want you to take a little different spin on looking at colic and how we see this dynamic of systems, right? Their behavior, their neuro expressive behavior, like in the car seat, like being laid down, um, not being consolable by walking around. What is that telling you may not just be the gut. We may need to look at other things as well. So, um, I’m going to wrap it up from there and thank you again, ChiroSecure for giving us this platform to get this amazing information out to all of you practicing docs. And next month, the first Thursday is the amazing Dr. Eric Kowalke I’ll be back on me and no, I don’t allow her to have Johnny jump up. She just likes to jump. We will be app the third Thursday of, uh, next month, which we’re in September already until then you guys have amazing rest of the summer. Um, and good luck to all of you out there as you embark on the new school year, we’ll see you next month.

Look to the Children was brought to you by ChiroSecure.

Empowering Women in Chiropractic – “The Top Reasons Kids See Chiropractors”

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.

Hi, everybody. Happy Thursday. Uh,

Third, Thursday of July. I am your party house for today. Monica Berger here. Um, and we’re going to have a little bit of fun. And so before I get started, uh, pop quiz time, I love to do pop quizzes with those docs that I mentor. So if you’re live right now, I want you to type in, do, do, do, do, do, do, do what you think the top let’s go with, uh, about the top two reasons that kiddos, um, come to see you in your chiropractic office. So if you’re out there and you want to do a pop quiz, guess what are the top two reasons you think kiddos present to a chiropractor for boom, boom, boom, boom, boom. Let’s do it. So, um, let’s, uh, my topic today, I’m going to go to some slides and let’s rock and roll. So today we’re going to present the top reasons kids go to see chiropractors.

Hmm. But I’m going to put a little spin on it, um, because I want you amazing chiropractors out there to think outside the box a little bit, because our goal, our goal is always, how can we best help those that we serve right? To help them live the healthiest, happiest most optimal life. So sometimes we need to take a little spin, change the lens a little bit, um, and look just a little bit further outside the box as to how we can achieve those goals. And if we do that, that’s where the magic happens. Because when you are the one to help your, um, your practice members to help your community, that’s where the magic hits, because you will start in what I call an everlasting practice. You really don’t need to be out there searching for new patients, doing spinal screenings, all that kind of stuff, because you get people well and they stay pay and refer.

So let’s think outside the box a little bit. So let’s Jimmy jam to the next slide here. Thank you, ChiroSecure again, without your amazing, um, support and, um, proactiveness for us to get our word out, our message out. We couldn’t, um, be the awesome practitioners that we are. So again, thank you. Tyra ChiroSecure Matt for giving us this platform. Um, and I want to tell you all those of you that, um, no, my sidekick Elizabeth, she’s not here with me today. Uh, she’s at my home. I’m at my office office, but I just want to assure you that Elizabeth has safe sound and secure and happy and healthy. And she is spending some time with my cat Macy today. So, um, why do they, why do kids seek chiropractors top reasons? 65 ish to 85% are for musculoskeletal purposes, mostly neck and back pain, but we want to throw some growing pains into this mix as well.

Only two to five, 6% are being seen for other, um, other reported issues. Uh, lots of times we will see that as colic allergies, eczema, asthma, and your recess. Those are big ones that we see in our profession, but that’s a very small number. So we want to look, we want to hone in today or what I want to hone in today is how to spend our, um, view of musculoskeletal pain. All right. So boom, let’s do it. One thing I want you to keep in mind, this is a really golden Pearl, 50% of kiddos and adolescents experienced low back pain within a course of a year. But third, a third of these will experience recurring pain. Keep that in mind. Okay. So they present to you initially, but a third there’s a third of your patient base can go on to have recurrent pain.

We’re going to talk about that in a minute. All right. Then low back pain in adolescents seems to track into adulthood. There’s a great presented is higher predictive value that an adolescent presenting with low back pain, it will follow them into adulthood. And guess what guess what is the number one disability in the world is low back pain, all right, headaches and neck pain, also follow adolescents into their adult years. So keep this in mind because what you want to do is you want to give that message to your parents that, Hey, these are common things we see caring in adulthood. Wouldn’t you like to minimize that? Wouldn’t you like to minimize the chance of your child later on suffering from the number one cause of disability in the world, lower back pain or ongoing headaches. So keep this in mind. These are key talking points, which we’re going to talk about how to pap size on these at the end of my little blurb here.

So, um, this, I found very interesting. There’s an overall wellness form. They refer to as this SF 36. And basically, what is this a questionnaire form where they look at pains, you know, what’s your pain factor. Um, how does it interfere with your daily life? How does it interfere socially? How does it interfere emotionally? And they found that chiropractic patients has significantly worse overall health and that chiropractic patients back and neck pain patients, musculoskeletal patients, overall chiropractic patients seem to have poor mental health. And I want you to keep this in mind for a minute because we’re going to tie all this together and how you can use these as talking points in your practice to build that stay, pay, refer everlasting practice and how to look outside the box here. But, um, what was also very interesting was that the health attitudes and belief of chiropractors, um, is, um, parents were overall more satisfied with the care chiropractors and they S their belief systems seem to resonate with chiropractors.

So again, I think a good point here to think about is attracting those patient base. That ha that resignate with our values, because that is, um, that is so much less of a stressful type of practice when, when they resonate with your values. So let’s create that practice for you, that, that one that resonates you resonate with your patient base. Um, and you have a stay pay, refer, automatic practice, building a machine where you have fun in your practice. So it was figured out how to do that. So let’s look at those top two, um, musculoskeletal pain, neck back, painless, let’s go there, um, and headaches, and look at them through a little, through a bird’s eye view, a different lens. What’s the definition of insanity, doing the same thing over and over again, and expecting a different result. So what you want to do is you want to spin your approach so that it’s not, if you’re continually adjusting and they’re continually having the same complaints, this doesn’t just go for your pediatric population.

This goes across the board, I’ll get across all ages and stages. What different lens might you want to look through to add, to change, to tweak that might be that thing to put them over threshold. And you’ll actually be oftentimes the only one that has been able to figure them out and to solve their problem. And that’s when you get that constant referral base. Right? Okay. So what do we want to look at? Um, I love this little mouse dude. When I was thinking, after what, as I said, I should’ve put a Lizabeth on a little leaf like that in her diaper, and that would have been a great picture. So I’ll have to remember that for you, because she does miss when she doesn’t get to see off. So let’s build an everlasting practice first about let’s look at a different lens. When you’re thinking about when they’re presenting for these musculoskeletal issues, what’s driving the pain. What’s the underlying roots sports can be one of them. Okay. So we might ask that question about what are their, are they playing sports and they’re getting hurt, but here’s what thing I want you to spin on what I’d love to ask this question. What sports are they playing? Or what sports do they like to play?

And then I also like to ask, are they good at that sport? I don’t ask this in front of the kiddos because you don’t want to shatter their self-esteem if they enjoy a sport, but they’re not necessarily good at that sport. But what I want to know is what sports do they like? Do they like heavy impact sports? The ones that tend to give us more injuries, chronic injuries like football or wrestling, because if they like those heavier impact sports versus a basketball or golf or something like that, that could be telling me that they are seeking, um, proprioceptive input. They want that stimulation to the joints and muscles. Last month, we talked about the power of proprioception, go back and listen to that. They’ll give you some cues on, on what to, what to look for here. So what kind of sports they like?

So again, those are heavier impact sports that lead to more chronic injuries that maybe we can give them some intervening exercises like, um, Superman’s or pastoral promoting exercises that are going to ha enhance their appropriate set their chronic input proprioceptive input to the brain that is more calm for them. They might not seek out behavioral patterns. My second point here is behavioral patterns. Do they like to jump on couches a lot? Do they like to crash into, um, chairs? Do they like to jump on the trampoline? They’re chronically coming into your office because they’re getting hurt because they like these aggressive behaviors. Their brain is seeking out this input. If you can provide that input in a less destructive manner, foster that input to their brain, not only are they going to get that, that propioceptive input into the brain, that input is going to help, um, fire, spinal stabilization, muscles, and joints so that they will hold their adjustment longer.

Bingo. Parents don’t have time these days. They can’t be running all over the place. You we know that people are lacking time. You create a, um, a program, a management plan that helps them foster maintaining that correct of subluxation longer. They don’t have to come in as often. They love you. Now with that said, you also want to look at, Hey, I want to charge a good value for my service, my normal fee for service, because they don’t have to come in as long, but they’re referring all their friends to you because boom, Hey Dr. Joe’s got it going on. Gave me a couple of exercises for Joey to do. They’re holding their adjustment better. Their behavior patterns are better. You got to go see Dr. Joe, because I know you’re having to go five times a week to get your son or daughter adjusted all the time.

And maybe Dr. Joe can help you get a better pattern, a better regimen. Do they have a need for speed? Number three on my list here. Um, are they getting hurt a lot? Are they coming into your office? Because they’re adrenaline seekers, they’re adrenaline junkies. They have to do activities that they’re always jumping off of things. They’re tumbling all the time. They’re doing those dives, they’re spinning around and then they’re fall. Are they, uh, need a general adrenaline junkies that is usually they are seeking sensory input in to their brain in order for them to, um, be able to navigate in their environment. Now there’s a lot of, um, continuing ed courses and higher level courses on all this neurology stuff. Um, and if you want to learn a little bit more that I suggest you seek some of those out, but these are patterns we look for.

Why are they in an office all the time? Okay. And how can we maybe take a different lens? Give them one or two extra things to think about, hold the adjustment, better, less musculoskeletal pain, bam, hitting a home run. Are they clumsy? Not coordinated? Are they falling all the time? Again? They don’t know where they are in space. They don’t have that sensory input into, into their CNS to know where they are in space of they’re falling down all the time. Okay. Things to think about for musculoskeletal pain. The other thing is when we talk about growing pain, um, oftentimes think about, okay, remember, the long bones are growing. They’re growing fast, the soft tissues can’t adapt fast enough. And that gives us pain. What can help? So support ligamentous and soft tissue growth and repair and inflammation, things like iron zinc, magnesium. These are big key micronutrients that you can add a little bit of that in bam again.

Wow. Dr. Joe, you’re amazing. I took them to the pediatrician. I took them to the acupuncturist and they got a little temporary relief, but I didn’t, that end was golden. Think outside the box. Okay. Um, and a lot of kiddos are being, are coming to our offices for quote unquote growing pains. So those are some things I want you to think about with regard to our musculoskeletal. Again, 65, 85 percentage of kiddos are presenting for musculoskeletal pain to chiropractors. Um, but let’s not, you know, again, um, repeat and expect a different outcome. Let’s maybe think outside the box a little bit. So, but let’s look at headaches for a technology. Of course, technology used in two manners, not just our pasture down on technology, but the visual processing, um, strain can be an issue for headaches. There’s these things called pinhole glasses. There are these, there are these glasses that can put out and they literally looked like somebody took a pen and punched hundreds of pinholes in each lens, but it helps filter out some of the strain from computer use.

I have been using this a lot with kiddos this last year, because they were on computer so much for homeschool for a school in general, because the COVID thing and that decreases some of the strain. Those are for kids with visual processing issues and strain on the eyes. So again, we can adjust them till the cows come home, but if you have one or two golden Pearl nuggets that that help, um, put them over to that next level, it is hands down creating a waiting list. Everlasting practice. I have a year waiting list in my practice, right? Foods is another thing you need to think of foods. I was in migraine supper, all my life, growing up into my thirties, turns out, um, my gut was not so great. And we know, you know, gut is a second brain. So I want you to think about triggers, do a little research.

They come into you, your TBI patients in particular, your post-concussion patients, their threshold is down. Their adaptability threshold is down. So they, you might have to take some of the load off of them. This can, this can hang you up. Lots of times. Um, they, they present more frequently with headaches and we think, oh my gosh, you know, do we need to get another MRI or cat scan or what’s going on to dig a little bit? When do their headaches come on brand? Since I had a patient teen, his, uh, post extreme traumatic injuries, um, one of the worst head injuries I’ve had to manage, he was doing great, but around Christmas time, his headaches started to ramp up. Something is stressed. So we know we went through it and then I sat down with them and ask him it’s Christmas time. What happens around Christmas time, more junk food, more goodies is more cookies and candy and all that stuff.

He was loading up on sugar. And usually when you have the sugar, you’re going to have dyes, dairy, and gluten, all massive triggers for headaches. We, we, less than that, I said for a week, I want you to be on your toes for a week. And let’s see came back the next week, zero headaches during that week. So I want you to think about these things. What does it mean? They don’t need the adjustment? Absolutely not, but it just means that you need to think outside the box, because if they’re coming in repetitively and you’re not getting long-term results, they might hijack you and say, I’m out. Oh, here. Okay. Again, think outside the box. What do most kiddos eat these days? Take a box, Mac and cheese, and look at the ingredients. It’s a chemical crap storm in there. A lot of these chemicals, R M M what have MSG in them, even though they say no MSG MSG, this is a big red flag note for you.

MSG many different names. I encourage you to go to a site called M S G myth, M S G myth, M Y T h.com and pull it down information from there, from there to give us a handout to your practice members of all the different names that MSG can be at is an, a huge headache, trigger allergies, sinuses, um, this time of year. And particularly again, their headaches can go up because they’re, the threshold is down there. Adaptability is down. But some key things to think of is look at things like does their eczema increase ads? Like we should show that two to 6% of kiddish coming in for things like allergies, eczema, and your recess like that cluster of things. Um, but is in that, in that bucket as well, do their, does their increase this time a year, their threshold might be down because of more histamines, more allergies, more mass cells going on.

Um, and you know, then they can’t tolerate the foods they’ve been eating and their headaches go up. But the other thing to look for besides skin issues is look for bags or dark circles under their eyes. We call those allergic shiners. That is a red flag for you that, okay. They may have some allergies, whether that be seasonal allergies tipped the scale. Seasonal allergies are the only thing you have to worry about or seasonal allergies in associated with food intolerances or food allergies was enough to tip the scales and we have more headaches. Okay. The other thing I throw in here is sleep apnea. We’re having a lot bigger, a lot more prevalent issues with obstructive airway issues and sleep apnea, even in babies, they’re they, they’re putting more babies on CPAP machines. I’m not making it up, not kidding, but things I need you to think about here are GERD or reflux because of gut issues and food allergies and, um, tongue and lip ties, tethered oral tissue tissues.

Those are big ones with sleep apnea, and that is, is highly associated with headaches. So I just want you to think a few things outside the box, um, of it, especially those top kiddos that, that are having to come to you frequently to try to keep their pain and their headaches level. Okay. So again, build your everlasting practice. Look at a little different lens at take a few foods away. Are there, are there headaches coming? Um, every time they have pizza, pizza’s a crap storm, right? You’ve got gluten, you’ve got dairy and you’ve got fake cheese with a lot of yellow dye in it. Is there a pattern to their headaches? Maybe we need to stop those foods. Maybe we need to look at some probiotics. Okay. Think outside the box. Oh, so the other thing I want you to look at is tying this together.

So all the things I just talked about, especially the gut and food stuff is really associated with neurological conditions like ADHD. But this was a cool paper that I just pulled down earlier this week, I think. But how do we take our message from musculoskeletal, from pain to brain? That is the big thing in our profession right now, which is amazing and awesome. But this particular paper, they looked at, um, eight key disorders or diseases, by the way, I’m backtracking I’m I’m, uh, going back a sidebar here. We remember we don’t treat any conditions, right? So with that to the 6% that shown to come in for allergies, eczema, call it in your recess so forth. We do not treat those conditions. Remember that, right? We just, we, not just, but we remove subluxations. We allow the body to process neurological information more efficiently, and thus by the wayside, we see these amazing side effects of their car gets better or whatever we’re talking about.

Okay. So again, we don’t put a condition up on our website that we treat that condition, but, but I want to try to tie this together for you. This paper, it looked at ADHD with eight and these were four key association diseases that was highly associated with ADHD, nervous system diseases. That’s a no brainer, right? ADHD, ADHD is poor processing of your environment, processing of information, um, respiratory issues. Now hold onto that one for just a minute when we get to our last slide, but, but respiratory issues think about, um, subluxation patterns and tight muscles had not been able to expand your rib cage. All right. And musculoskeletal issues are, were associated with ADHD. How can that happen? How can that be? All right. I’m going to try to make this as easy as possible cause my brain can get crazy brain, go down some really crazy rabbit holes.

Here’s the deal guys. We know that poor processing of our sensory input. I just talked about proprioception. I should’ve thrown vestibular information into there too, because those kiddos that are adrenaline junkies and running all the time might have the stipular issues that they’re trying to feed to their brain. That can also really be associate with headaches too, by the way. But those are two key sensory systems that we know feed information to the brain, particularly the important part of our brain called the prefrontal cortex. So here’s your tie in together? Prefrontal cortex from part of your brain up here is highly associated with ADHD, inattentive illness. Okay. That part of the brain is going to fire down information to the small muscles that stabilize the spine. If those aren’t onboard and they’re not sending information down, I’m to have more spinal instability and more musculoskeletal pain.

Okay. We know that chiropractic care has been found to be very beneficial in helping with attention. And then we know from a lot of the neuroscience research, primarily added a New Zealand chiropractic college and Dr. Heidi Hubbuch that when we do an adjustment, we affect prompt sensory motor processing of the prefrontal cortex. All right. So stands to reason, musculoskeletal pain, nervous system dysfunction associated with ADHD, which is associated with that prefrontal cortex, which is associated with fine muscle control and spinal stability stability, which has been shown to enhance processing in that area of the brain with a chiropractic adjustment, boom, learn that lingo pivot your practice from pain. So they might come in with muscle still skeletal pain to start with, but you understand the connection and how we can explain this to our parents. And also that we don’t want, we know that ADHD is hugely carried over into adulthood.

We know now you just learned a few minutes ago that musculoskeletal pain is carried over into adulthood. Those two links make that’s a big connection for you right there. So how can we educate our, um, practice base? Let’s talk about that. We can do, I call them patient prompting questions. So I just did a kind of a sample here for you. Um, I have these, you can put these amazing graphics and these questions on a beautiful eight and a half by 11 piece of paper. Um, make them make them pretty pretty and put them up around your office. I put them on the back of my treatment door. So as they’re walking out, they see them on the back of the bath or front and back of your bathroom door in a display, um, a document display at your front desk. So you have a campaign for a month or a week or whatever you want to do.

And you have these different questions around your office to prompt your compactors community, to ask you, what are you talking about, doc? So this one is, did you know that many musculoskeletal findings have been reported in children with ADHD, including postural anomalies, chronic fatigue and widespread musculoskeletal pain, let’s go still to pain. Well, I know my kiddo has a hard time paying attention in school and, and he carries his backpack. That’s heavy and he’s always complaining that his back hurts. Hey, could that, do you think you could help me? There’s your, there’s your door? There’s your, there is your educational Dorin. Shoo-in whatever you call it. She went to the door and whatever. Okay. So what I’m saying is let’s pivot your, um, practice and the way you present and get them thinking outside of the box. Yeah. Most schools still go to issues. And does your kid on the computer like that all the time and was your kiddo at home during COVID humped over a computer all the time.

Yeah. So get him in front of just check them out. Let’s see. Let’s see if there could be an issue here. All right. So another one we might think of as we, as we’re changing the conversation in our office, um, would be, um, a nice, again, a nice graphic. All right. And you can have either one message, one question a week or a month, or you can have multiple ones on the same topic. Um, but just different questions. Depends what floats your boat, right? So did you know that low back pain and adolescent seems to track into adulthood and as a predictor for later, low back pain and low back pain is a number one cause of disability in the world. People don’t want their kiddos predisposed to the number one disability to late on not being able to ha ha hold down a job, let them know that you can offshoot on this.

And maybe a subsequent message. A subsequent did, you know, was focused on painkillers. Tylenol. Tylenol is horrible. Tylenol wipes out a thing. Our master axon antioxidant called Lumify on which leads to a whole host of issues, which is associated with asthma and autism. So see what I’m saying is you can take a message like this, and you don’t want kiddos on pain pills all the time on opioids. Let’s get them checked. And then you, you set them on a schedule. Maybe it’s whatever your maintenance wellness is. Once a month, twice a month, once every six weeks, depending on the kiddo, you give them some exercises for spinal stability and enhanced proprioception, maybe check their balance. Is there a vestibular system struggling? And we need to add some balance in. So they’re not spinning around getting hurt all the time or clumsy and falling over. You tweak a little bit.

You teach them about some food. Bam, you get that child over the threshold, stay, pay, refer. You’re going to build a practice. They’re going to be busier than ever get these messages into your office. Change your tune, change your tone, get that true chiropractic message out to your audience. Um, so hopefully this was helpful for you and, um, make the connection. So then to wrap it up here, this was from Dr. Heidi, Haavik her website’s there. Okay. So I just want to acknowledge that this is her graphic. She allows me to use them, but I also would encourage you to go to her website, tons of information there, but look at this, making the connections. If for some reason you develop a bad habit, a poor posture, you or your kiddo, it can inevitably affect your breathing patterns. So here’s a trick you can do.

You tell your, your parents, your kiddos, your teachers go to a classroom and do this. I want you to slump down like you’re at a computer and try to take a deep breath in everybody. You guys do it right now. Try to expand your rib. Cage is slumped over. You can’t expand. Okay? But if you sit up tall and you try to take a deep breath, you can expand your rib cage and get good air and oxygen to the brain. You need that to concentrate. All right, you need it to learn for learning attention behavior. Make those connections, have those graphics up in your office. Use those graphics on your social media, pivot your practice, create an everlasting practice. And most importantly, change a life. Change their function. Get them to the optimal wellbeing. So, boom. Hopefully you got some good pearls out of this.

I’m leaving it there again. Thank you ChiroSecure for giving us this platform, getting our message out. Erik Kowalke will be with you. Oh my gosh. We’re going to be in August already. Holy cow. Um, Eric walkie will be with you the first Thursday in August. I’ll be with you the third Thursday. And you know what? I think we’re going to tackle the car seat, colic and chiropractic car seat, collagen chiropractic. I’ll try to have Elizabeth with me then until then you guys have an amazing summer keep changing lives. And um, God bless you. All

Pediatric children was brought to you by ChiroSecure.

Empowering Women in Chiropractic _ “How to Connect with the Sensory Defensive Child” Monika Buerger

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.

Hello and welcome to another amazing ChiroSecure Look to the Children’s show. I am your host today, Dr. Monika Buerger. And I am super stoked to bring you this information because we’re getting a lot of questions out there about how do I work with that? A little fiddle, fart that is, um, and crazy chaos, and then like a sensory storm to get that amazing adjustment. So I want to bring you some tools and tidbits on that. Um, so let’s head on over to a little slideshow that I put together for you and let’s rock and roll. First of all, um, I want to thank Kairos pure again for giving us this amazing platform and being so, um, great for our profession and everything you do for us. Kara secure, thank you so much. And they have your back. If you want to work with these little fiddle farts.

So here we go. Um, so a child’s neuro expressive behavior, or anybody’s neuro expressive behavior is really a window into their neurological integrity. So we have to take what they are telling us when they’re in our offices in particular. And what does that mean? Sometimes we can get frustrated, um, because they are a little bit difficult or challenging to work with, but we have to understand where they’re coming from and that’s what we want to try to do today. So I want to get, actually today, I want to focus on what are some things we can do to calm the storm, calm the chaos that’s going on in their brain to get that adjustment. And then next month we’ll poke our heads into what does certain behaviors mean? That sounds like a plan. So neurological signs and symptoms are merely a sequella of brain dysfunction, not the cause of it.

So what are the signs and symptoms mean? So, one thing I wanted to do is, again, we want to adjust into calm, not chaos and in today’s world, there’s a lot of not, not just your little fiddle, thoughts are coming in and chaos, but your adults as well. So how can we minimize that for anybody in our practices to maximize the effect of the adjustment? All right. A lot of these kiddos that are in sensory chaos, uh, in a sensory storm are coming in with their brains in chaos. So we’d like to calm them down in order for their nervous system, to be able to even accept that adjustment. And how do we do that? What’s the magic bullet. I mean, give you a few magic bullets, actually. So first of all, what I want to do, I’m giving you a bit of homework. I want you to go your offices. And when do this in two different spaces, one when nobody’s there, maybe just your staff.

So walk into

Your office through the front door, not the back door, if you tend to come in through the back door, but through the front door, um, on any given day when your staff is there, the lights are on just like, it would be a normal functioning day, but no patients there. And I want you to stop look and listen. When you walk into the office, what is it? What does it sound like? What does it feel like? Um, do you normally have the radio on and is it blasting, uh, do you have a video playing? What are the, what are the lights like? Um, is it dim and calm? Is it bright and, and, um, blaring take, just stop, look and listen. What it feels like in your office, expecially, from a standpoint of individuals that, um, get into sensory chaos very easily, then do that on another day.

Maybe you have to slip out the back door to go in the front door when patients are in there, because put yourself in their brain. By the time they get back to your office, are they in a ready as sensory defensive mode? Is it too bright, too light, too much noise, too much sound. And by the time they get back to you, they’re, they’re hunkered down and they are trying to defend themselves against all this chaos. That’s not going to be the child that you’re going to be able to connect with and, um, and, and, and adjust. Okay. So stop look and listen. Um, couple of tips on that waterfalls. I have a wall mounted ticket for me, wall-mounted waterfall, um, desktop and so forth. Those little fiddle parts can, can climb up into your, on your front desk or on a, on a table or something and get into a little bit of trouble with those.

So wall mounted where it’s higher, it’s safer, but, um, co noise, uh, water is calming. It’s soothing. If at all possible, switching out your lights, fluorescent lighting has a buzz to it and can flicker. And that can be, um, over stimulating for your PTSD patients for your post concussion patients for you, a little bit of arts with sensory dysregulation and like your autism spectrum. They see that flicker and they hear the buzz, which we may not, but they do. And that can be very, um, sensory disturbing to them. So look at your lighting, if you can switch them out for incandescent lighting, and that can be very helpful or turn the lights off and use just natural lighting through windows, but figure out a way around that they do have, um, covers for if you have the fluorescent panels, they do have a variety of covers that you can put over the lighting over those panels to, um, calm the, um, calm the visual storm from those fluorescent lighting and get them on Amazon.

So just again, um, maybe the, the, your telephones have them on a lower ring tone. So when the, when the calls are coming in, cause you’re a busier than heck it’s not allowed ring had maybe some rocking chairs with where those with vestibular needs can sit and rock and calm before they get back to you. Just little considerations like that can really help. Um, now for your kiddos, I want to show you a couple of things that I do in my office. You can do them, you can have your CA do them. You can have parents do them. You can do this from across all ages and all stages. I just happened to in those videos, be working with in this case, Elizabeth, who usually joins me and Elizabeth is in my suitcase right now. Don’t don’t, uh, don’t call, uh, child protective services on me.

I was traveling and I brought Elizabeth with me. So it’s usually, sometimes she shows up on the show, but she’s in the video here. So you can use on babies, on your post-stroke, your post-concussion again, across all ages, all stages, but these are very calming. Proprioception is, um, very calming to the nervous system. It’s grounding, it’s calming. So your kiddos that might be sensory defensive. They don’t want to be touched. They pull your hands or push your hands away. They are running around like tornado. Kids will give you something a little bit different for the tornado kids, but, um, they’re very sensory defensive. This can be very grounding and calming to them so that you can get your hands on them and do an adjustment.

Okay? So for some extra proprioception, what we can do is what I call lateral stretches. You’re going to just start opposite arm, opposite leg and gently traction and hold for like 10 to 20 seconds. And then you’ll do the opposite side and then I’ll do same side. This just helps with what we call body positional awareness and proprioception, but knowing we have two sides of the body, um, and then it gives some proprioception as well. So you do that. And then if you have an extra person on hand, one would do the arms and one would do the legs the same time, um, like, uh, you know, the quarter four seat kind of thing. So that is, um, ladder out of these stretches or bilateral, um, awareness or, and, or avoid positional awareness, knowing if both sides of body as well as some from reception.

Okay. So again, um, this is great to, um, foster optimal nerd brain development, right side left side brain, body, body brain connection. Um, but again, it can be very, very calming for those that are sensory defensive. Um, or you can just do some deep joint com. You can do that and then do some deep joint compression, just compress all the way up the arms and legs and squeeze my, some of my kiddos call them squeezies. Um, but that will calm them in order to get the adjustment you can use. Um, also use like weighted blankets. So I, I practice Gonstead. So I will on the older kiddos do, um, see the cervicals. So I made put a blanket, a weighted blanket over their lap. Of course, if you do supine, or if you’re doing cranial work, having a weighted blanket rule of thumb is about 10% of the body weight of the, of the individual that can be very grounding and they would just lay there and let you work on it.

So our ultimate goal is always to get that life changing adjustment. And I want to give you tips on how to do that. So that’s why we’re here today. So the other thing you can do now, I get these little sensory brushes on Amazon. Um, I give them out actually to, uh, my pregnant mamas or once the, the little ones born to do this, to foster optimal neurodevelopment sensory input, um, to, to, for, for, uh, proactive purposes. But again, if you had that tactile sense of kiddo that, um, is you’d go to touch, especially cervical spine, you start to touch them and they just push your hands away. Um, this is a good, good tool to use. Sometimes if they’re older, I might have them sitting up in mom’s lap and, um, I will just do their arms or legs. And then after I’m done doing this, I will let them hold that sensory brush in their hands as I adjust them or do cranial work. It’s just continuing that stimulus that is calming for them. So Amazon, you can get them by the dozen. Um, I tell some docs, you can, even if you want to give them out, get a sticker of your office logo and name on it and put the little sticker inside the brush handle right in here, um, right inside there. And then it’s got your office logo and so forth on it. Um, so their friends can see, Hey, look at my chiropractor gave me great PR for you. So let’s take a look at this.

What I show you here is it can use for may facets one or calming, get the settle down, particularly before you’re doing Jessica. Cause that’s the ultimate thing, right? It’s getting them awesome, lifesaving adjustment, but I also use it to enhance the sensory, give this for parents to do it at home, especially for the self little parts that aren’t meeting their Maura milestones are leading me to go to language milestones. Um, because we know that motor development fosters language development. So we want to do this, not just the parts that are showing average neuro development, but to foster an optimal mode about it. So we can do different things. We can use a brush, second brush, Amazon, okay. Rule of thumb. You put another pressure. So you slightly bend the bristles or you can use, I usually use a smaller ball in that. I just don’t have that here right now.

I house, um, a little massage at home. And what you can do is you can go start, um, from the Palm, preferably open Palm, um, on one arm and we can come on and just stroke. And then you go down the leg and then he would do the other side. Now this is going to help that we call that around knowing right from left, which is a key core, fundamental step for body position awareness, proprioception, visual, motor visual, spatial development. And then we go across the body. We go one arm across the leg. Okay. And then I would do get a smaller ball and I would do so you give me it’s different sensory sensations, prayerfully, Nudie oriented diaper. Okay. So you’re going to go one side of the body, the other side of the body. And this is for all ages. Now, this is really great for your little, little parts that don’t know, right from lap.

Let’s say they’re five or six years old, and you want to foster ladder reality knowing right from left. Um, this could be an issue with kiddos with dyslexia and it’s just crossing the midline. So, um, again, we do the same side, same side, cross lateral hostile, different textures. Um, I also also, um, advocate a lot of tummy time nudity, you know, getting a lot of sensations. I’m getting them up on a boppy. You can do it again on the posterior side. Um, and so these are some good techniques that we should all be mindful of in order to foster offer neuro development, but also intervene if you see average motor and sensory velvet.

So there you have it again, this is, I give this to parents to do at home because it can help, um, foster that sensory defensive, get them out of that sensory defensive mode. But I do this in the office as well, um, in order to calm their nervous system and ultimately get that good adjustment. So it takes you, you know, in a minute or two, you can do that. And then usually they’re so relaxed that they’ll just like, okay, you can get that adjustment done. So you can do this on the move too. So some of those kids that are in that tornado storm, I’ll show you something else here. Um, this one is actually, I think we’ll do it. We’ll do it from bad. We’ll do this one on here. So this is, um, one of my older autistic kiddos that was, that was diagnosed on the autism spectrum, but, um, has come a long way.

And so I have her supine right here and you see how I kind of modify things. Um, this, I call the cranial nerve integration and I cannot tell you how many docs when I met lectures and I give this, I’ll get, uh, an email or message back that, Oh my gosh, this has saved the day. So many times for so many kiddos. So we’ll look at a supine here and then we’ll look at it how you can modify it again. It’s chiropractic on the move. A lot of times we have to adapt our body and our responses to there’s. One thing is we don’t ever want to seem bigger than they are. So for instance, like if they don’t like eye contact, don’t force them to make eye contact with you. Um, if I match their, um, their, their tone as well, some kids want me to speak a lot louder and they want me to be silly and some kids that’s too sensory overwhelming.

So I will calm myself down. So learn how to match their sensory cues if they’re covering their ears a lot. Um, and, and you notice they’re sensitive to noises and you close the door and they’re startled, bring things down a little bit. Okay. Um, if they tend to talk louder, um, you know, you, you might be able to bring your volume up, um, get down on their level, get on the floor with them, match them at their, their body posture, their body, you know, they’re, they’re smaller and they’re crouching down. You make yourself smaller match their, um, their specific needs. Uh, then you gain their trust and then you can start to do things like this.

So this is the cranial and, and integration had procedure. This is to help calm kiddos down. Um, the premise is to what we call it, drive the cranial nerves home, but it’s very calm and relaxing. And sometimes they do this before. Um, trying to Jessica that’s put it in their shoulders layers or bat your hands away. So you’re going to put your start with one hand right here and put it on the forehead. And you’re just going to do a sweep down to the back of that, that as a premise that you’re taking here and driving home the brainstem. So you’re going to do two passes like that, and you can do this lying down or seated or any way to get them do that. Then you’re gonna start at the forehead and have you use it for me. So when you show the people how to do this, can you relate still there, sit up. I’m going to start at the forehead and go up over the years and drive them home. Or you’re asleep that cheeks up the, that chin and get all the long term up over the years and down the back of the neck, driving home, you’re going to two houses here, two houses, and then you’re going to take all three fingers. You have a shin cheeks, forehead, chin, cheeks, or head and drive in home. Okay. And that’s a crayon of friction.

That one is amazing. You guys, um, you can do this on the move and it just sets the tone, especially if you want to get a good cervical adjustment. So again, tools, tricks, tidbits, um, ultimately to get that gold, you’ll see here on this one, how I do this, I combine what I call the respiratory diaphragm. The respiratory diaphragm is, um, think of the Vegas nerve. It comes from the brainstem down at branches out underneath the diaphragm. And it branches out to, um, all the visceral, the neurovisceral sensations, which is a big sensory, um, organism as it is. So, um, that where it branches out underneath the diaphragm is so incredibly powerful. So I’m going to show you how I combine a respiratory diaphragm hold and the cranial nerve integration that the little fiddle fart, we’ll all look at this video on the left here, this little guy, um, very, very sensitive defensive. When he comes in, like I couldn’t even touch his skin. So I worked with them and you’ll see at the end, I was actually able to get my hands skin to skin. And then after that, I was able to get him up on my pelvic bench and adjust them. And he was cool beans cafe. So I just want to show you that and we’ll do a combo.

What can you see at books and front? They’ll try you see snake snake. Now what you can do is again, the cranial nerve integration, swipe white over the eyes, down to the brainstem cheeks down, chin up around them. Do that twice, keep him entertained. He was a handful. I could not catch him at all. And I just go with this and then you can go back to the respiratory diaphragm earlier when he was pulling my hands away. And I had to put a shirt down, put my hands over his shirt, and then he could tolerate it again. Now I’m skin to,

So what it is as you see this picture right here, this is where the little guy supine, and basically what you’re doing is your hands are parallel between, um, the under ones under, um, the last few ribs, depending on the size of the child, right? Sometimes your whole hand takes up the whole cavity. So one’s going to be underneath and one’s going to be over that, um, the diaphragm area. And you just pretend like here, you just pretend like there’s a water balloon between your hands. Don’t overthink it, get your left brain out, go right, brain, close your eyes if you have to. Um, but just pretend there’s a water balloon there. A lot of times I’ll close my eyes and it’s pit, you’re just resting very lightly, like the pressure of, um, uh, really ripe tomato or the pressure you would put on your eyeball eyelid.

Um, and let your hands just pivot and move as the body wants to two to five minutes is kind of the key time, um, used to be two, two minutes and they see that five minutes that myofascial release releases better. That Paschal release better after five minutes, the tissues warm up more, and then you always want to end your hands where they’re parallel. Um, but that w it ha that’ll help with that bagel tone and calming, and again, get them calm. Then sometimes what I’ll do is I’ll, while I’m doing it, or afterwards, I’ll hand them a sensory brush and they can brush themselves, or they just like to feel it and bam begin and then get the adjustment. And that’s what it’s all about. So these are great tips and tidbits, um, to ultimately get that optimal adjustment. So I want to leave you with one, um, what I call a whiteboard wisdom, kind of pulling this all together and then, um, go out and just practice.

Don’t overthink it. Um, on your cranial nerve integration, respiratory diaphragm, you can do those. You can put toys on the pelvic bench and let them cruise along the pelvic bench. As you’re moving along with them. Um, have a mom mom’s lap. Um, I’ve done it in the waiting room with really sensory defensive kids that don’t want to come down the hallway. They don’t trust me yet. And you might have to do this the first half a dozen visits in your office until that little fiddle fart gets to know your office, what it feels like, what it smells like. Um, don’t have burning candles and all those things to, they feel safe in your environment. And I’ve actually come out to the waiting room and that’s all we’ve done for the first four to six visits. And then they trust me and then they’ll come down the hallway into an adjusting room. So, um, don’t take offense to it. They’re just really expressing their, their neural storm, their sensory storm in their brain. So let’s chill, chill with this real


A sensory defensive child.

Our sensory experiences will shape the way we respond to our environment and well, everything in life. Really, in fact, we have eight different kinds of sensory input into our brain. Five of these senses come from outside of our own body. They are taste, touch, smell, auditory and visual three senses come from within our body. Those are vestibular proprioception, and interoception now for some people, certain sensory information can be too much or too little. This causes an imbalance of information within the brain and body and can lead to an overwhelming sense of insecurity, sensory information that is too much. It’s like a little cup of caffeinated coffee. It fills up too fast and souls over in this situation, the brain can be on hyperdrive with too much information bouncing around, but nothing is organized or making sense or sensory information can be like a very bigger cup of decaffeinated coffee that will never reach the top.

In this situation, the brain will not be getting enough sensory input like being on hypo drive, making it hard to know what’s really going on in the person’s external environment and within their body, either one of these scenarios will lead to anxiety, fear, and a maladaptive response to the world. Now for the doctor of chiropractic, it is important to understand that a child’s behavior is a window into their neurological integrity and a window into their ability to regulate and organized sensory input into the brain. Here are some simple steps that can help chiropractors working with children to better connect with the child in order to better serve them through chiropractic care parks, pause, stop talking, suck charting notes, stop everything, and take a quiet minute to just observe the child. Second ponder. What is the child’s behavior telling you about how they are perceiving and adapting to their environment?

Third proceed. Once you understand what sensory input the child is trying to screen out or trying to upload, you can proceed with ways to provide them with what they are innately, trying to find. And once you’ve done the three PS, you can to three seeds first call help the child regulate their nervous system based on their needs. If they are hypersensitive, decrease their sensory load by such things as turning down, lights, lowering your voice and avoiding eye contact, deep pressure to the joints and muscles can provide appropriate susceptive input, which will also help screen out other unwanted sensory input. Now for those high boat, sensory children providing a little vestibular and proprioceptive input can help regulate the sensory chaos in their brain and help them call once the child’s sensory needs are met. Find ways to connect with them through touch words, or play a chance to feel safe, understood, and excepted. Third chiropractic once a child’s defensive system is lower and their nervous system is ready to accept input. You can proceed with a life-changing chiropractic adjustment. Now it may take a few visits before this is possible, but setting the stage with the three days and the three C’s will be goal to learn more about how to best serve children with sensory and other neurodevelopmental challenges. Join the intersection for life movements, intersect for life changing lives, changing the future.

Let me have it three PS, three CS, um, easy to remember, just start practicing with it. Um, once you, once you do it more, you get more comfortable and, um, maybe just try the cranium live integration, and then do the ladder alleys stretches and then combine them. But, um, again, our mission is to ultimately get that life-changing adjustment. And I hope that you got a few pearls to add your Pearl necklace, to, um, add to your, to your, uh, patients and help them receive that ultimate chiropractic adjustment. So next month, June, we’re going to be in June already. Holy Hannah boats. Um, Dr. Erik Kowalke is with you the first Thursday of every month. And I will be back the third Thursday, and let’s have some more fun and until then, keep changing lives, keep changing the future and ChiroSecure again. Thank you for being amazing and giving us this platform. You guys keep changing lives. We’ll see you next month.

Today’s pediatric show children.