Diagnostic Assessment



Diagnostic assessment by Dr. Schmoe begins with an extensive physical examination to determine how the patient is processing his or her immediate physical environment. Whenever indicated by the physical exam, and based upon the judgment of our Board Certified Chiropractic Neurologist, we may order additional lab work and medical imaging tests as part of the assessment. We then complete the assessment utilizing cutting-edge diagnostic techniques and technologies to measure postural control, reaction times, motor accuracy and neurological endurance, all in a concerted effort to pinpoint specific areas of brain and central nervous system problems. The initial diagnostic testing results serve as benchmarks against which therapy results are measured.


  • Videonystagmography (VNG)
  • Computerized Dynamic Posturography (CDP)
  • Gait Analysis


Balance problems, dizziness and other issues associated with the vestibular system can be assessed through videonystagmography (VNG) testing. VNG consists of a series of tests to evaluate how well the eyes respond to information from the vestibular system. During the tests, the patient wears a set of infrared goggles that record eye movements as the eyes follow moving targets. In addition to enabling the care team to detect signs of central nervous or neurological problems, VNG can indicate whether the vestibular system is responding correctly to stimulation. VNG testing is considered the standard for testing vestibular function, because it tracks eye movements directly, rather than measuring movements based on the muscles surrounding the eyes, as other testing does.


A clinical assessment technique that can help diagnose posture and balance disorders. It is used to evaluate the various systems – sensory, motor and central nervous – that affect posture and balance. CDP tests the patient’s posture using a combination of support surfaces. The patient stands on a horizontal platform challenging the ability to maintain balance. At the same time, the environment creates visual stimuli that can be used to assess how the patient uses visual cues to maintain his or her balance. The neurologist performs specific tests under these conditions to measure the body’s reactions. Measurements from these tests are combined with measurements from the VNG testing help the doctors pinpoint the affected areas of the brain.


Due to the complexity of his or her health condition, some patients may be recommended for an intensive care program, which includes in-office rehabilitation 3-5 times per day for up to 5 days.


Functional neurology assesses how well groups of neurons are working. Under-active neurons may quickly fatigue and become unable to do their job. By performing a functional neurological exam we can determine the specific group of neurons that need attention, then prescribe individually-based exercises designed to improve performance and function. The original concepts of functional neurology were developed by Dr. Ted Carrick of the Carrick Institute which provides post graduate studies in functional neurology. Specific chiropractic adjustments coupled with rehab exercises can provide a very powerful method of stimulating appropriate areas of the brain.

The neuron is the functional unit in the central nervous system. Neurons communicate electrically and chemically. Neurotransmitters are chemicals in the brain that relay information. Balancing brain chemistry is essential to getting the maximum benefit from chiropractic adjustments and rehab exercises. Lifestyle, diet, and overall health greatly affect neurotransmitter function. At Schmoe Chiropractic Clinic we address these factors utilizing adjustments, rehab exercises, nutritional intervention, supplementation, and Gut Repair protocols to balance Neurotransmitter activity.



    Low serotonin is associated with depression, PMS, seasonal affective disorder, inner rage, and a general loss of enthusiasm.


    Low dopamine is associated with a short temper, low self-esteem, poor focus and concentration, and addictive behavior.

  • GABA

    Low GABA is associated with stress, anxiety, panic, feeling overwhelmed, chronic worry, restlessness, and feelings of dread.


    Low acetylcholine is associated with memory loss, difficulty learning, difficulty calculating numbers, slow mental response, and poor visual memory (trouble remembering faces or where you parked your car).