Beyond the Subluxation in Parkinson’s: Visual-Vestibular Drivers of Postural Instability and Gait Dysfunction – A Chiropractic Neurology Approach

This presentation explores the visual-vestibular drivers of postural instability and gait dysfunction in Parkinson’s disease through a chiropractic neurology lens, moving beyond traditional subluxation-focused care. Attendees will examine neuroanatomical and pathophysiological mechanisms, including basal ganglia circuit disruptions, sensory integration deficits, and environmental contributors relevant to Florida’s aging population. High-yield bedside neurologic assessments that predict fall risk will be demonstrated, along with evidence-based external cueing strategies, in-office drills, and progressive home programs that leverage neuroplasticity. Practical tools integrating vestibular, proprioceptive, and rhythmic techniques will be provided for immediate clinical use alongside chiropractic adjustments. Participants will gain actionable strategies to achieve meaningful, longer-lasting improvements in gait, balance, and quality of life for PD patients.

Learning Objectives

  1. Differentiate neurologic (visual-vestibular and sensory integration) versusorthopedic contributors to postural instability and gait dysfunction in Parkinson’s disease and perform key bedside tests that predict fall risk.
  2. Implement evidence-based external cueing strategies and in-office neurologic drills to improve gait parameters, reduce freezing of gait, and enhance vestibular/proprioceptive function.
  3. Design simple, progressive home programs incorporating vestibular, proprioceptive, and rhythmic cueing techniques for long-term fall-risk reduction and functional gains in PD patients.