Quintessential Applications Clinical Protocol: Neurologically Described

Dr. Steve Heffelfinger, DC

The QA Clinical Protocol is about excitation and inhibition of neural pathways. It utilizes the manual muscle testing response (inhibited, facilitated, over facilitated-biased toward facilitation) as a reflection of the status of the anterior horn motor neuron pool (AHMN) for the muscle being tested. Sensory receptor based diagnostic challenges result in muscle testing outcomes (changes in AHMN) that are then used to direct appropriate therapy.

Though strong (facilitated) or weak (inhibited) muscles are utilized in sensory receptor based diagnostic challenges, weak muscles best serve the needs of our initial investigations. Postural analysis and TS line analysis help to identify muscle weakness. Posture, range of motion, pain, etc. are used to objectively measure the clinical presentation and subsequent treatment response.

Injury recall (IRT) patterns must be addressed first. Correction of injuries with IRT reduces cortical and/or cerebellar asymmetry and restores normal muscle spindle control mechanisms necessary for muscular and postural control. Many neurological signs and autonomic effects are also significantly changed by IRT corrections. Similar responses occur when applying pain relief techniques (NSB, Set Point). Addressing these patterns of aberrant neurological function in the beginning optimizes response to subsequent therapies and helps avoid reoccurring problems.

Systemic nutritional factors essential for cellular, neuromuscular and neurological support must be addressed early regardless of presenting symptoms. These factors are vital for proper healing and have a direct impact on nerve, brain, and immune function, inflammation, energy production, tissue oxygen supply, cartilage, and connective tissue repair. Brain function may be comprised by 3 major factors: 1) Neurotransmitter imbalance-usually a combination of excessive and lowered neurotransmitter activity, 2) Inflammatory activity inside the brain, associated with microglial activity, and 3) Neuronal firing rates which are dependent on both afferentation and the metabolic activity of the neurons themselves.

Brain and Brainstem issues play a fundamental role in problems, regardless of the nature of the person’s complaints. Fundamentally, almost any physiological activity can affect brain function and brain function can of course, affect any tissue in the body. Three factors affecting the brain: 1) Neurotransmitter (NT) imbalances, 2) Inflammation (locally created in the brain from peripheral influences on microglia), and 3) Altered peripheral and central sources of neuron firing must be identified and corrected for a complete resolution of these problems.

Consideration of the citric acid cycle (CAC) nutritional factors is deferred until CAC-inhibiting immune modulators (cytokines-interleukins, TNF) have been addressed. Manual muscle testing provides a real-time somatic window on neurological and neurochemical function that allow the doctor to penetrate the uniqueness of each person’s brain function. Imbalances in nutrition create or aggravate problems with NT’s and inflammatory mediators. Each imbalance summates with other imbalances and is aggravated by excess or deficient sensory activity from muscles and joints, visceral dysfunction, and cortical functions. MMT assesses for the most appropriate therapy for each patient on each office visit in a manner that is unparalleled in the healing arts.

Systemic structural factors (K-27 Switching, Cranial, TMJ) result in aberrant postural patterns that must be considered prior to addressing local problems or manipulating the spine. When neurological “switching patterns” are present, immune system dysfunction is most often the underlying cause. Attention to these structural factors has a direct impact on the mesencephalic reticular formation, among other things, pattern generation (flexion, extension, rotation, lateral flexion), TMJ muscle function, and autonomic expression.

CAC and ETC (Electron Transport Chain) function are then assessed assuring adequate ATP production, the production of CO2 synthesis of bicarbonate ion (CSF, HCl, and Pancreatic Enzymes), and optimal neuron “firing”.

Heart-focused (HF) activity positively influences autonomic, endocrine, and immune function. This self-induced, positive emotion driven therapy is preferentially performed after favorably influencing neuroimmunologic function.

Systemic endocrine effects come next, since sources of endocrine disturbance (Injuries, Immune Dysfunction, Histamine Elevation) have already been addressed. First, we must identify the need for increasing or decreasing endocrine function, realizing that excess hormone may be a result of over production or faulty liver detoxification, and faulty liver detoxification may be GI Tract (esp. Large Intestine) related. Hyperinsulinism, present in many endocrine problems, must also be considered.

Sources of autonomic dysfunction (Injuries, Stress) and sources of GI disturbance (Allergens, Bad Fats, Endocrine/Bowel/Liver) previously corrected make further assessment of the GI Tract appropriate at this time. Evaluating for hiatal hernia/GERD is critical prior to examining the ICV as part of a fully integrated digestive system. Autonomic dysfunction is corrected first clarifying later enteric nervous system evaluations.

Relieving persistent somatic manifestations of emotional stress is now appropriate as biochemical (Nutrients for Neurotransmitters, Adrenal Stress), neurological (Injuries, Pain, HF) and GI (Psychological/Physiological Reversal, Toxicity) factors adversely affecting our ability to cope have been ameliorated.

Presenting symptomatology is often greatly reduced or entirely absent prior to the assessment of “local” problems. However at this juncture, origin-insertion, Chapman’s reflexes, fascial sheath shortening, iliolumbar ligament, pelvis, spine, and extremities are definitively more responsive to our focused therapeutic effort as remaining dysfunction is relieved of the systemic interference caused by previously aberrant descending neural pathways.

At or near the end of the evaluation, gait assessment provides essential feedback confirming that necessary mechanical corrections have been effectively made and assuring that no further (e.g. Pancreas Chapman’s Reflex Stimulation) is needed prior to releasing the patient to daily activity.

After attending to all of the parameters mentioned above, if pain persists, LQM, and/or Tonification Point Techniques are most effective, as the general systemic effects on the cortex, cerebellum, structure, viscera, and chemistry have been effectively redressed.