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Neurology 247 — at a Glance
| Course: | Neurology 247: Time to Get a Grip |
| Faculty: | Michael Hall, DC, FIACN · Neurology Faculty, CCEDseminars |
| Format: | On-demand online video with case walk-throughs and assessment · downloadable handouts · instant certificate |
| Pricing: | $20/hr · automatic 10% off at 6–9 hrs, 20% off at 10+ hrs in one order · no promo codes |
| Approval: | PACE Provider #34015544 · co-sponsored by Texas Chiropractic College · acceptance varies by state |
Board-approved · PACE Provider #34015544 · CE Broker auto-reporting for states served · Instant certificate
A hand quietly losing strength is one of the earlier objective signs of cervical myelopathy, and one of the least often measured. Grip is fast to test, comparable between visits, and unlike most of what a patient reports, it produces a number.
This two-hour course makes grip strength a clinical procedure. It covers the overview, dynamometry and the pinch test; cervical myelopathy — its clinical signs and the grip strength normative values that make a reading meaningful; clinical management considerations including the finger escape sign and finger tap; and a review of the research literature.
Choose Your Neurology Path — Three Lanes, One Curriculum
The Neurology series runs from what you can measure at the bedside, through the brain systems that explain the findings, to the structures a chiropractor treats, the developing nervous system, and the risks worth screening for. Courses 201–230 are built out here, within a larger clinical-neurology curriculum; each is two hours.
1 · Examination, Testing and Clinical Reasoning
What you measure and what it means — oximetry, vital signs, reflexes, sensory testing, outcome measures and the differential behind a collapse.
203: Pulse Oximetry in Chiropractic
208: Vital Signs for Chiropractors
210: Chiropractic Clinical Case Studies
211: Reflex Assessment in Chiropractic
213: Neurology Tests for Chiropractors
222: Somatosensory Examination Review
224: Outcome Assessments: Neurologic Perspective
235: Syncope
236: Accurate Sensory Testing & the Clinical Examination
2 · Brain Systems, Cognition and Mood
The cortical, cerebellar and limbic files — pain and the CNS, the pyramidal system, frontal lobes and cerebellum, memory, mood, smell and what the brain is popularly believed to do.
202: Pain & the Central Nervous System
204: Clinical Aspects of the Pyramidal Man
205: Functional Neurology & Frontal Lobes
206: Functional Neurology & the Cerebellum
223: Myths of the Brain
228: The Neurophysiology of Happiness
229: Clinical Perspectives Surrounding Memory
233: Anxiety in America
237: The Nose Knows
238: The Science of Happiness
3 · Spine, Posture and Craniocervical
Where neurology meets the structures a chiropractor treats — the cord, the vestibular system, the craniocervical junction, the cervical curve, sleep posture and the mechanics of the ribcage.
201: Chiropractic Myelopathy Management
207: Exploring the Vestibular System
209: Guzay’s Theorem & Craniocervical Neurology
225: Current Perspectives of Sleep Posture
231: Ribs and Breathing
234: The Cervical Lordosis
245: Arnold Chiari, Forward Head Posture & Low Spinal Tone
246: The Amazing Trapezius
248: NMS Implications of Low Axial Tone
4 · Pediatric and Developmental Neurology
The developing nervous system from birth through adolescence — early plasticity, developmental milestones, and concussion in children and teens.
212: Pediatric Concussion Management
217: The Concussed Teen and Return to Learn
221: Brain Rules for Babies
226: Pediatric Pearls (Ages 0–3)
227: The Vital Child (Ages 5–12)
241: Educating Boys and Girls
242: Think, Learn, Succeed
243: Pediatric Pearls from the Kids Summit
5 · Motor Control, Tone and Peripheral Nerve
The motor system from cortex to muscle — upper motor neuron anatomy and signs, tone and spasticity, movement disorders and peripheral nerve involvement. You are here: Neurology 247.
215: Dopamine, Parkinson’s & Chiropractic
218: Chiropractic Perspectives on Tone
240: The Upper Motor Neuron
244: Can Weakness in My Eyes Affect My Neck and Back?
247: Time to Get a Grip
249: Thoracic Outlet Syndrome
250: Fun with Tunnel Syndromes
6 · Autonomic, Vascular and Brain-Health Risk
The autonomic and vascular side of practice — sympathetic and vagal regulation, blood pressure, digestion, stroke risk, and the lifestyle factors that move long-term brain health.
214: Depression and Exercise
216: Is Fitness Important to Health?
219: Cervicogenic Hypertension
220: Chiropractic Stroke Risk Assessment
230: Low Stomach Acid & the Burp Test
232: The IML — Structure, Function & Relevance
239: Dysautonomia
Every course in the series is 2 PACE-approved CE hours at $40, and the automatic bundle discounts apply across the whole lane.
What You'll Learn in Neurology 247
Use grip strength effectively as a clinical procedure, including dynamometry and the pinch test
Interpret grip strength against normative values rather than impression
Recognise the tell-tale clinical signs of cervical myelopathy, including finger escape and finger tap
Apply the current research literature to grip strength testing in practice
Your Neurology Faculty
Michael Hall, DC, FIACN,instructor of this course and of the entire Neurology curriculum. A chiropractic neurology specialist, founder of BrainDC.org and Neurology Faculty at CCEDseminars, with more than 30 years of clinical and academic experience. He teaches functional neurology, neurological assessment and clinical neuroscience with an emphasis on case-based, evidence-informed application — translating complex neurological concepts into clinical reasoning a general practice can use.
Monte Horne, DC,reviewer of this course. Founder and CE Program Director of CCEDseminars, a Designated Doctor for the Texas Department of Insurance and a peer reviewer and expert witness.
Full bios and the complete instructor roster: CCEDseminars faculty page.
Where Neurology CE Hours Count — State Rules Worth Knowing
Clinical neurology coursework is clinical subject matter — assessment, diagnosis and case management — which is exactly what several state boards ask for. In Iowa, these hours serve the 36-hour clinical case-management minimum; in Rhode Island, they address the 50-of-60 clinical requirement; and in Vermont — where practice-building coursework earns nothing — patient-care education like this counts fully under the clinical-focus rule.
Online-format allowances still vary by state — some accept every hour online, others cap distance learning or require in-person blocks. Check your state's guide in the full state directory before building your renewal plan.
Build Your Neurology Block
Every course in the Neurology series runs 2 hours at $40, so the automatic discounts do the bundling for you: 6–9 hours in one order earns 10% off, and 10 or more earns 20% off — courses 201–210 together are 20 hours, well past the 20% tier at roughly $320 instead of $400. The full Chiropractic Clinical Neurology (CCN) 201–224 bundle runs 48 hours if you are working toward the certification. 2 CE hours,$40 Browse Neurology Courses
Neurology 247 — Frequently Asked Questions
Why measure grip strength at all?
Because it is quick, quantitative and repeatable, and it tracks things a subjective report will not. The course treats grip strength as a clinical procedure rather than a curiosity — covering dynamometry, the pinch test, and the normative values that turn a number into a finding.
What does grip strength have to do with cervical myelopathy?
It is one of the earlier objective changes. The course covers the clinical signs of cervical myelopathy alongside grip strength normative values, because a hand that is quietly losing strength and dexterity in a patient with neck complaints is a finding that deserves weight rather than reassurance.
What are the finger escape sign and finger tap?
Two bedside tests covered in the clinical management section. Finger escape describes the ulnar digits drifting into abduction when the hand is held extended; finger tap looks at the speed and regularity of rapid finger movement. Both are fast, need no equipment, and add to the myelopathic picture.
Do I need a dynamometer?
It makes the measurement objective and comparable between visits, which is the whole argument for measuring rather than estimating. The course covers dynamometry and the pinch test together, and the normative values that make a reading interpretable.
How is this different from Neurology 201 on myelopathy management?
201 is the management course — the myelopathic differential, the upper motor neuron signs, and what stops a cervical adjustment. 247 comes at it through one measurement: what grip strength is, how to take it properly, and how it contributes to recognising cervical myelopathy early. Complementary rather than overlapping.
State Approval and Licensing Reminder
Continuing education requirements — including online-hour caps and clinical-hour minimums — vary by jurisdiction. Review the online chiropractic CE guidelines page and contact CCEDseminars with questions about your specific licensing requirements before registering.
Ready to Enroll in Neurology 247?
Grip strength produces a number, and a number can be compared. This course covers the technique, the values and what they signal.
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated September 3, 2026 (CT)