Dr. Alex Jimenez, El Paso's Chiropractor
I hope you have enjoyed our blog posts on various health, nutritional and injury related topics. Please don't hesitate in calling us or myself if you have questions when the need to seek care arises. Call the office or myself. Office 915-850-0900 - Cell 915-540-8444 Great Regards. Dr. J

Introduction To The Cerebellum | El Paso, TX. | Part II

El Paso, TX. Chiropractor, Dr. Alexander Jimenez continues with the cerebellum overview. The cerebellum is one of the most identifiable parts of the brain based on its unique shape and location. It is an extremely important part of the brain. It is responsible for being able to perform everyday voluntary tasks likes walking and writing. And it’s essential for being able to keep balance and remain upright. People who have suffered from a damaged cerebellum struggle with balance and maintaining proper muscle coordination.

EVERYTHING PERIPHERAL HAS A CENTRAL CONSEQUENCE!

CASE STUDY

Cerebellar Ataxia

54-YEAR-OLD FEMALE PRESENTED TO OUR CLINIC FOR FEELINGS OF “UNSTEADINESS”

cerebellum el paso tx.

  • Patient woke up one morning over one year ago with vertigo.cerebellum el paso tx.
  • Patient has difficulty with balance and walking. She sometimes resorts to using a cane. Extreme difficulty walking downstairs
  • Patient has been proactive in her weight loss, however, this has served as a speed bump in her plan of getting back to health.
  • She has not been able to exercise like she had in the past.
  • Patient has been to several vestibular rehabilitation clinics to no avail.

 

 

 

 

 

PHYSICAL EXAMINATION HIGHLIGHTS

  • cerebellum el paso tx.Cranial nerves I-XII WNL
  • Wide-based gait
  • Right cerebellar findings
  • Provocative Romberg testing produced significant sway in the right posterior and left anterior canal position.

 

 

 

 

 

 

 

 

THERAPEUTIC INTERVENTIONS

 

 

 

 

 

 

 

 

AFTER 1ST DAY

  • cerebellum el paso tx.Marked improvement in balance.
  • Comfortable walking and standing with more narrow- based gait.
  • Ability to walk down stairs without holding handrail.

 

 

 

 

CASE STUDY

Meet Aaron & McKayla

cerebellum el paso tx.
**Permission given to use names, images and whatever else needed to spread the word

A 39-year-old retired Explosives Ordinance Disposal Technician who in 2011…

cerebellum el paso tx.

And in 2015…

cerebellum el paso tx.

WHAT CAN FUNCTIONAL NEUROLOGY DO FOR AARON?

HOW CAN WE HELP HIS BALANCE?

 

IF YOU DON’T USE IT….

cerebellum el paso tx.WHAT DO YOU SEE?

cerebellum el paso tx.WHAT DO YOU SEE?

cerebellum el paso tx.

WHAT DO YOU SEE?

cerebellum el paso tx.

WHAT DO YOU SEE?

WHAT DOES IT MEAN?

cerebellum el paso tx.

cerebellum el paso tx.AFFERENTATION WITH METABOLIC CONSIDERATIONS

A-BETA – MECHANORECEPTORS
  • Merkel’s disc – slow adapting to pressure and texture. Sharpest resolution for spatial patterning. “steady light pressure”
  • Meissner’s Corupuscle – superfiicial motion detection. Two point discretion.
  • Ruffini’s Corpuscle – located in dermis. Steady skin stretch and joint pressure.
  • Pacinian Corpuscle – rapid adapter, Associated with vibration.
GOLGI TENDON ORGAN IB FIBERS
  • Responds to muscle tension changes.

cerebellum el paso tx.

1A IIA SOMATOSENSORY
  • Muscle spindle fiber is the largest fiber in the human body.
  • Respond to the rate of change in muscle length, as well to change in velocity, rapidly adapting.
  • This will require the most demands on metabolic capacity.

BACK TO THE CASE

  • cerebellum el paso tx.In 2011, Aaron had lost both of his eyes in an IED explosion.
  • Due to the blast, Aaron also lost his sense of smell and taste.
  • After several months of rehab, Aaron learned how to ”be really good at being blind.”
  • Although he could not see, balance was no major issue. “I was climbing mountains, running marathons, kayaking…you name it.”

 

 

 

 

 

  • In 2015, a few months after running the Boston Marathon, Aaron was on the phone with Mckayla.
  • “He said he was not feeling well and was going to go lie down. I was concerned but did not think much of it.”
  • After a day and a half of waiting for his call, McKayla found out Aaron contracted meningitis and was intubated in the ICU.

cerebellum el paso tx.

  • Finding out Aaron is completely deaf after meningitis…

cerebellum el paso tx.

  • The meningitis obliterated his hearing and left him completely deaf for 5 months.
  • Not only that, the meningitis wreaked havoc on Aaron’s balance centers (his vestibulocerebellum) and he suffered from severe vertigo and difficulty standing and walking.
cerebellum el paso tx.After recovering from meningitis:
  • “You can see how he’s walking on the treadmill in the very beginning. It took so much out of him to be able to do that.” – Mckayla
  • Remember “metabolic capacity?”

cerebellum el paso tx.

  • Aaron was actually able to get himself back into running shape and ran one of his best times in Ohio, but not without struggle.
  • “Every little change in pace and every little movement was a huge calibration for me and it took a lot out of me.”
  • “I still have a lot of work to do…”

cerebellum el paso tx.

cerebellum el paso tx.CHALLENGE ACCEPTED

  • Sooooo….back to the basics!

cerebellum el paso tx.

  • We utilized different surfaces to challenge his balance system (foam pads, wobble boards, etc….
  • We also had him do most of his therapies barefoot to increase afferentation to the somatosensory cortex

cerebellum el paso tx.Updates from McKayla:

  • “Pace is a 7:30 and he’s doing 6 miles. Completed core work too.”

cerebellum el paso tx.

  • Typically in the OVARD we would spin Aaron in specific directions and he would tell us which direction he was spinning in.
  • At first this was very difficult and he could not perceive the movement, however it was not long until he was sensing each direction of his spin.
  • We let him have a little fun in this particular video….

cerebellum el paso tx.

  • I asked Aaron and McKayla how they felt therapy was going.
  • They responded “great, but we won’t really know until he goes for a run outside…”
  • So we went on a seven mile run at an 8 minute pace.
  • Here we are working on turns.

cerebellum el paso tx.

  • Cured!
  • Aaron is back home in Florida continuing his training for Boston in two weeks.
  • He is continuing at-home exercises and vestibular rehab with specialists
  • He and I are running a half marathon together in the not-so-distant future

cerebellum el paso tx.SOME SIMPLE CEREBELLAR THERAPIES

GENERAL CEREBELLAR EXERCISES

  • Spinning in desk chair will stimulate ipsilateral cerebellum
  • Passive muscle stretch will stimulate ipsilateral cerebellum
  • Squeezing tennis ball will stimulate ipsilateral cerebellum
  • Passive or active non-linear complex movements will stimulate ipsilateral cerebellum
  • Finger to nose pointing will stimulate ipsilateral cerebellum

Vermal & Paravermal Exercises

  • Passive and active gaze stabilization exercises with central fixation
  • Wobble board/unsteady surface exercises
  • Balance beam exercises and tandem walking
  • Bouncing a ball against the ground or throwing it against the wall
  • Core exercises such as planks, sit-ups and yoga
  • Learning how to balance on a bicycle
  • Supine cross crawl activity

Lateral Cerebellum Exercises

  • Cognitive processes
  • Learning a musical instrument
  • Tracing a maze
  • Playing “catch”
  • Tapping fingers/hand or toes/feet to the beat of a metronome
  • Trying to write with eyes closed
  • Strategic board games

THE LANGUAGE OF THE BRAIN IS REPETITION!

By RYAN CEDERMARK, RN BSN MSN DC DACNB

Dr. Alexander Jimenez ♛
Advanced Chiropractic & Wellness Authority ⚕ Healthcare Educator • Injury, Sciatica Specialist • 915-850-0900 📞
We Welcome You 👊🏻.
Purpose & Passions: I am a Doctor of Chiropractic specializing in progressive, cutting-edge therapies and functional rehabilitation procedures focused on clinical physiology, total health, practical strength training, and complete conditioning. We focus on restoring normal body functions after neck, back, spinal and soft tissue injuries.

We use Specialized Chiropractic Protocols, Wellness Programs, Functional & Integrative Nutrition, Agility & Mobility Fitness Training and Cross-Fit Rehabilitation Systems for all ages.

As an extension to effective rehabilitation, we too offer our patients, disabled veterans, athletes, young and elder a diverse portfolio of strength equipment, high-performance exercises and advanced agility treatment options. We have teamed up with the cities premier doctors, therapist and trainers to provide high-level competitive athletes the possibilities to push themselves to their highest abilities within our facilities.

We’ve been blessed to use our methods with thousands of El Pasoans over the last three decades allowing us to restore our patients’ health and fitness while implementing researched non-surgical methods and functional wellness programs.

Our programs are natural and use the body’s ability to achieve specific measured goals, rather than introducing harmful chemicals, controversial hormone replacement, un-wanted surgeries, or addictive drugs. We want you to live a functional life that is fulfilled with more energy, a positive attitude, better sleep, and less pain. Our goal is to ultimately empower our patients to maintain the healthiest way of living.

With a bit of work, we can achieve optimal health together, no matter the age or disability.

Join us in improving your health for you and your family.

It’s all about: LIVING, LOVING & MATTERING! 🍎

Welcome & God Bless

EL PASO LOCATIONS

Central:
6440 Gateway East, Ste B
Phone: 915-850-0900

East Side:
11860 Vista Del Sol, Ste 128
Phone: 915-412-6677

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