Level III candidates will be required to demonstrate the ability to take x-rays of excellent quality, analyze the x-rays accurately and “reduce” the ASC complex consistently.
The standards of this level of the certification are to bring together all the prior development through Level I and II. The doctor has the opportunity to further refine their x-ray placement and analysis skills while applying this information toward the reduction of the patient’s subluxation.
The x-ray submissions of Level III will require the doctor to maintain the same high standard of x-ray positioning and analysis in Levels I and II. Additionally, the doctor must demonstrate a reduction of the subluxation pattern by 80% or better on the post x-ray. The doctor is also responsible to provide biomechanical explanations about the x-rays that are being submitted.
BIOMECHANICAL QUESTIONS REGARDING THE REDUCTION OF THE C-1 SUBLUXATION
- List the basic type of subluxation and give the characteristics.
- How is laterality produced and why that factor is significant?
- List the resistances encountered and how to overcome them.
- What frontal plane is the lower cervical angular rotation in?
- Explain the type of mastoid support to be used and why?
- What portion of the mastoid or skull (1) (2) (3) or (4): is placed on the mastoid support areas? (A) (B) (C) or (D). Explain why.
- Which headpiece angle will be used in each case?
- Did you change the adjusting vector, and if so why?
- What aspects of the adjustment do you feel you need to be more conscious of for this subluxation?
- Based on your pre and post x-ray findings would you expect the pattern to remain the same or change? Explain.
- Based on your pre and post x-ray findings would you change the headpiece placement or the adjusting vector in order to achieve a higher degree of correction?
- In comparing your pre and post x-rays, do you feel the patient x-ray placement was accurate? If not, explain.
- Based on the pre and post x-ray analysis and the objective findings, when do you think a redo of the pre x-ray is necessary?
The requirements for the submission of consecutive pre and post x-rays for certification review are as follows:
- 1 set of pre and post x-rays.
- 2 consecutive sets of pre and post x-rays.
- 3 consecutive sets of pre and post x-rays.
- 4 consecutive sets of pre and post x-rays.
- 10 consecutive sets of pre and post x-rays to the NUCCA Certification Board.
At some point through this x-ray submission process, reductions of all four types of subluxation patterns must be demonstrated.
Previously reviewed x-rays may not be resubmitted.
At the completion of this series of x-ray review the doctor will achieve NUCCA Board Certification.