Boomer Care: Evaluating & Adjusting Aging/Special Needs Populations w/ W. Ruch, DC (Sep 9, 6hrs)

How do you handle special needs patients in your office? Review evaluation and adjustment with a specialist in the field. Includes 6 adjustment CE hours. 8am-2pm


William Ruch, DC
William Ruch, DC


September 9, 2017 - 8:00 am


September 9, 2016 - 2:00 pm


25001 Industrial Blvd, Hayward, CA, 94545   View map


How do you handle special needs patients in your office?  They may be frail, have multiple cumulative long-term injuries and conditions – they need not be old to be special needs.

The seminar includes a discussion of these patients and the different approach to patients that are at risk with manipulative care. There will be brief, sequential reviews of the anatomy of the body and subluxations on X-ray and MRI will be briefly presented.

Evaluation techniques including palpation of the ribs, with a special emphasis on the dysfunction of the anterior joints will be presented. Special emphasis will focus on the multiple injured patient with contraindications for manipulation. Hands on adjusting with Spring Loaded Instrument (SLI) and Drop Table will be practiced by the students. Evaluation and gentle adjusting of the spine and extremity joints will be practiced using SLI and Drop Table. Management of the chronic injuries will be discussed.


This seminar is designed to teach evaluation, adjusting and management techniques for elderly or special needs patients who have suffered serious singular or multiple physical injuries that prevent or hinder normal adjusting protocol efficacy.  These adjusting techniques will include caring for the older patient who has seriously and or chronically injured spine, rib cage, pelvis and extremities. All the adjusting protocols assume injury to surrounding joints and tissues.

6 hours unless otherwise indicated.

Chiropractic Continuing Education (CE)

State CE Available/Approval #
California 6 hours Approved
Adjusting CA-A-16-12-13004
(Category A mandatory hours)
Colorado No application required*
Connecticut No application required*
Delaware No application required*
District of Columbia No application required**
Georgia No application required*
Idaho No application required*
Illinois No application required*
(60 minute hours)
Indiana No application required*
(60 minute hours)
Iowa No application required*
Maryland No application required*
Michigan No application required*
Montana No application required*
Nebraska No application required*
New Mexico No application required*
Ohio No application required*
Oregon No application required*
Rhode Island No application required*
South Carolina No application required*
(60 minute hours)
Utah No application required*
Vermont No application required*
Virginia No application required*
Washington No application required*
Wyoming No application required*

*Some licensing boards do not require an application when a program is sponsored by an institution accredited by the Council on Chiropractic Education.  Life Chiropractic College West cannot warrant that any session of this offering will be accepted by these licensing board(s).  Life West urges licensees to familiarize themselves with the laws governing continuing education in the jurisdictions where they hold licensure.

DISCLAIMER FOR THE STATE OF MISSOURI: Approval of this course is not acknowledgment or ruling by the Board that the methods taught in this course are recognized and approved by the Board as the appropriate practice of chiropractic as defined in Section 331.010, RSMo.

Hour Topic
1 Brief discussion of special needs patients. Reasons for adjusting with an SLI: safety, anxiety, contraindications for manipulation and multiple injuries with limited positions.  A review of cervical spine anatomy and rib cage anatomy with an emphasis on their altered biomechanics followed by Chiropractic analysis of the dysfunctional rib cage and X-ray and MRI appearance
2 SLI adjusting of the ribs, Drop Table adjusting of the ribs, costosternal and sternoclavicular joints. The use of rib belts to stabilize the injured chest will be presented. A review of the evaluation of the dysfunctional upper extremity joints including the acromium-clavicular joint, gleno-humeral joint, ulnar-humeral and radio-humeral joints and wrist articulations. Followed by student participation of shoulder adjusting, elbow and wrist adjusting using SLI and Drop Table.
3 Upper cervical adjusting with SLI to allow (1) specific contact and direction of force; and (2) variable force in different positions. Drop Table adjusting of the upper cervical spine, Mid and lower cervical adjusting with both the SLI and Drop Table with special consideration to a patient’s limited ability to change positions.
4 A review of pelvic anatomy and leg anatomy and alignment, Chiropractic analysis of the dysfunctional pelvic girdle and X-ray and MRI appearance. Evaluation and palpation protocols of the pelvis will be learned. SLI adjusting of the dysfunctional pelvis, Drop Table adjusting of the dysfunctional pelvis. This includes the pubic symphysis, the sacroiliac joints and sacral adjusting. Managing the unstable pelvis will be discussed.
5 Evaluation and adjusting of the dysfunctional lower extremity joints (including the knee, proximal and distal fibula-tibial joints, ankle joint and calcaneal/talar joints and mid-foot joints) with the SLI and Drop Table adjusting will be practiced until proficiency has been attained. This includes special needs patients rehabilitation and management of chronic problems.
6 Hour 5 continued.



(510) 780-4508