Neuropathies

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

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El Paso, TX. Chiropractor Dr. Alexander Jimenez presents an introduction to the cerebellum. The brain is a complex structure that has billions of nerve cells. The basic anatomy is easily understandable. But there is one part of the brain, the cerebellum, which is involved in virtually all movement. This is the part of the brain that helps a person drive, throw a ball, or walk across the street.

Problems with the cerebellum are uncommon and mostly involve movement and coordination difficulties. This article will give an overview of the anatomy, purpose, and disorders of the cerebellum, as well as, how to keep the brain healthy.

FAGIOLINI ET AL. EPIGENETIC INFLUENCES ON BRAIN DEVELOPMENT AND PLASTICITY CURR OPIN NEUROBIOL, 2009

  • “Enhancing plasticity in the adult brain is an exciting prospect and there is certainly evidence emerging that suggest the possible use of epigenetic factors to induce a “younger” brain.”
  • “Recent findings support a key role of epigenetic factors in mediating the effects of sensory experience on site-specific gene expression, synaptic transmission, and behavioral phenotypes.”

 

 

 

 

 

TAYLOR ET AL. CUTTING YOUR NERVE CHANGES YOUR BRAIN BRAIN, 2009

  • “Animal studies have established that plasticity within the somatosensory cortex begins immediately following peripheral nerve transection, and that 1 year after complete nerve transection and surgical repair, cortical maps contain patchy, noncontinuous representations of the transected and adjacent nerves.”
  • “Here, we have demonstrated for the first time that there is functional plasticity and both grey and white matter structural abnormalities in several cortical areas following upper limb peripheral nerve transection and surgical repair.”

THE CEREBELLUM

IMPORTANT FUNCTIONAL AREAS OF THE CEREBELLUM

  • Spinocerebellum
  • Vestibulocerebellum
  • Cerebrocerebellum

SPINOCEREBELLUM

  • Responsibilities:

  • Regulation of muscle tone for posture and locomotion
  • Balance
  • Patient Complaints:

  • Difficulty with balance
  • Difficulty walking in the dark
  • Difficulty going down stairs
  • Sway to one side while walking
  • Examination Findings:

  • Wide based gait
  • Sway in Romberg’s position

 

 

www.neuroexam.com/neuroexam/content.php?p=37

www.neuroexam.com/neuroexam/content.php?p=37

WHAT DO YOU SEE?

WHAT CAN YOU DO?

  • Have the patient perform balance exercises:

  • Practice Romberg’s
  • Practice one leg standing
  • Bosu Ball exercises
  • Foam Pad exerscises
  • Balance Board exercises
  • Increase core stability:

  • Plank’s
  • Yoga
  • Increase proprioception:

  • Adjust!
  • But which side?

VESTIBULOCEREBELLUM


  • Responsibilities:

  • Regulation of vestibular system
  • Regulation of balance
  • Assistance with eye movements (encoding retinal slip)
  • Patient Complaints:

  • Postural muscle fatigue
  • Dizziness
  • Disorientation
  • Difficulty riding in a car
  • Nausea
  • Examination Findings:

  • Wide based gait
    Sway in Romberg’s position
  • Nystagmus
  • Impaired VOR
  • Impaired smooth pursuits
  • Hypermetric Saccades

www.neuroexam.com/neuroexam/content.php?p=37

www.neuroexam.com/neuroexam/content.php?p=37

VOR

WHAT DO YOU SEE?

EYE MOVEMENT REVIEW

WHAT CAN YOU DO?

  • Have the patient perform gaze stability exercises:

  • Sit arms length away
  • Fixate on dot
  • Rotate head in different directions
  • Rotation exercises:

  • Activate VOR
  • Activate side less active
  • Provide OPK stimulation:

  • Which side do you stimulate?

CEREBROCEREBELLUM

Responsibilities:

  • Coordination of fine movements
  • Coordination of speech
  • Coordination of thought
  • Patient Complaints:

  • Clumsiness with hands
  • Clumsiness with feet
  • Tripping over feet
  • Hand shaking with intention
  • Examination Findings:

  • Intention tremor
  • Termination tremor
  • Dysmetria
  • Dysdiadochokinesia

www.neuroexam.com/neuroexam/content.php?p=37

www.neuroexam.com/neuroexam/content.php?p=37

www.neuroexam.com/neuroexam/content.php?p=37

www.neuroexam.com/neuroexam/content.php?p=37

WHAT DO YOU SEE?

WHAT CAN YOU DO?

  • Have the patient perform coordinated movements!
  • Example: piano playing, finger taping, finger to nose, etc.

 

 

 

 

 

 

 

TAYLOR ET AL. CUTTING YOUR NERVE CHANGES YOUR BRAIN BRAIN, 2009

  • “Animal studies have established that plasticity within the somatosensory cortex begins immediately following peripheral nerve transection, and that 1 year after complete nerve transection and surgical repair, cortical maps contain patchy, noncontinuous representations of the transected and adjacent nerves.”
  • “Here, we have demonstrated for the first time that there is functional plasticity and both grey and white matter structural abnormalities in several cortical areas following upper limb peripheral nerve transection and surgical repair.”

By RYAN CEDERMARK, RN BSN MSN DC DACNB

Post Disclaimer

Professional Scope of Practice *

The information herein on "Introduction To The Cerebellum | El Paso, TX. | Part I" is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.

Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.

Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.*

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

We are here to help you and your family.

Blessings

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

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