Clinical Chiropractic Geriatrics Certification (CCG) | Online CE | CCEDseminars

Chiropractic integration: Falls are the leading cause of injury death in adults 65+. The DC who screens for fall risk and prescribes balance interventions becomes indispensable to the geriatric care team — and catches patients before the fracture, not after.

• Fall-risk screening protocols: Timed Up and Go (TUG), Five-Times Sit-to-Stand (5xSTS), Berg Balance Scale
• Environmental safety assessment and home modification guidance
• Balance progressions: static to dynamic to reactive — dosed for the aging patient

Chiropractic integration: Every manual technique decision in the geriatric patient begins with bone density awareness. Domain 2 teaches the imaging red flags, safe loading protocols, and fracture-aware adjustment modifications that keep chiropractic care both effective and safe for osteoporotic patients.

• Osteoporosis imaging flags on radiography: compression fractures, cortical thinning, Singh index
• Safe loading protocols and technique modifications for low bone density
• Fracture awareness: vertebral compression fracture recognition and referral criteria

Chiropractic integration: The geriatric patient rarely presents with a single complaint. Domain 3 builds the clinical reasoning for managing multimorbidity, polypharmacy interactions that affect MSK care, and the co-management communication skills that position the DC as a trusted member of the patient's care team.

• Polypharmacy considerations: medications that affect bone density, balance, and soft tissue healing
• Co-management with PCPs, physical therapists, and geriatric specialists
• Multimorbidity care planning: prioritizing interventions when the problem list is long

Chiropractic integration: The goal of geriatric chiropractic care is not pain reduction alone — it is preserved independence. Domain 4 teaches the gait assessment, functional mobility testing, and outcome measurement frameworks that define success in geriatric terms: can the patient still live independently, get up from a chair, and walk safely?

• Gait assessment and strength testing protocols for the aging patient
• Assistive device training and appropriate recommendations
• Outcomes-based geriatric care: functional independence as the primary endpoint