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Alternating Currents in Neuromodulation
From Principles to Protocols
Elevate your neuromodulation skills. Learn to apply Professor Carrick’s protocols to optimize brain activity, mood, motor output, and autonomic function.
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Course Description
If you’ve used electrical nerve stimulation but seen your results plateau or vary from patient to patient, this advanced 2-day course will reset your understanding and application of neuromodulation. Alternating Current Neuromodulation: From Principles to Protocols takes you back to the foundations: exploring waveform characteristics, stimulation parameters, and nerve targeting. It reveals how they directly influence brain activity and neuroplasticity. More importantly, you’ll learn how to apply Professor Carrick’s proven protocols with precision to enhance cognitive performance, mood regulation, motor output, and autonomic function. Designed exclusively for doctors with training in Functional Neurology, this is not a beginner’s overview, but a deep reboot to elevate your clinical outcomes and restore your confidence in neuromodulation as a transformative therapeutic tool.
What you’ll learn:
- Explain the neurophysiological principles underlying alternating current neuromodulation.
- Differentiate waveform characteristics and stimulation parameters to optimize clinical outcomes.
- Identify nerve targeting strategies that influence brain activity and neuroplasticity.
- Apply Professor Carrick’s protocols to improve cognitive, motor, mood, and autonomic function.
- Integrate neuromodulation techniques into functional neurology practice with precision and confidence.
FRC is amazing as usual. Matt is awesome as well! Great course and needed if you want to have great outcomes
- Ryan Weaver D.C.
Wow - two very intense days of mostly new material. Both Ted and Matt provided excellent presentations on the background and use of AC neuromodulation. Still trying to get to grips with the operation of the CereMod equipment, but just takes practice. This is a new modality for me and looks as though it has many applications for my patients.
- Rosie Kitchiner D.C.
I've been using neuromodulation for my whole chiropractic career, but this weekend opened my eyes. I now feel more confident in my ability to be specific in application and how to target brain areas in ways I never considered before. Great course!
- Denise Primavera D.C.
More About This Course
Electrical neuromodulation has evolved beyond simple stimulation to precise, frequency-specific interventions that drive measurable neuroplastic change. While many clinicians use electrical devices, few understand the biophysical principles that determine therapeutic success versus plateau. This advanced course addresses the critical knowledge gap between device operation and neurological outcome.
Alternating Current Neuromodulation: Principles to Protocols provides the theoretical foundation and practical application framework necessary for clinical mastery. You'll explore how waveform characteristics—frequency, pulse width, amplitude, and duty cycle—interact with nerve fiber types and central processing networks. The curriculum integrates peripheral nerve anatomy, labeled line theory, central integrated states, and Professor Carrick's evidence-based protocols developed through decades of clinical neuroscience research.
This intensive training is designed exclusively for doctors with training in Functional Neurology who seek to elevate their neuromodulation outcomes. Whether addressing cognitive impairment, motor dysfunction, autonomic dysregulation, or complex neurological presentations, you'll gain the precision tools and theoretical understanding necessary to select optimal parameters and predict therapeutic response.
Professor Carrick brings unparalleled expertise in funcitonal neurolgoy, combining his roles as the most senior Professor at the Carrick Institute with his roles at the University of Cambridge, University of Central Florida and Harvard University (MGH). His protocols represent the synthesis of neuroanatomical precision, electrophysiological principles, and evidence-based clinical application that transforms neuromodulation from empirical trial to targeted intervention.
Dr. Antonucci has a distinctive ability to take complex material and present it in a clear, methodical, and highly organized way. As an Associate Professor of Functional Neurology at the Carrick Institute, he is recognized for using analogies and metaphors to make challenging concepts—such as physics and electrical engineering—more accessible, helping clinicians not only understand them, but also apply them confidently in practice.
Components
Educational Syllabus
- Clinical Definition and Scope of Cognitive Impairment
- Introduces cognitive impairment, affected cognitive domains, and common neurological causes including stroke, traumatic brain injury, and toxic exposure. The global prevalence data and the personal, familial, and economic burden that drives demand for novel neuromodulatory therapies. Pharmacologic treatment, hyperbaric oxygen therapy, and exercise, highlighting inconsistent global functional outcomes.
- Rationale for Noninvasive Electro-Neuromodulation
- Introduces rTMS, tDCS, and peripheral nerve stimulation as emerging electrical approaches to enhance neuroplasticity after brain injury.
- Median Nerve Electrical Stimulation (MNS): Technique and Clinical Use
- Details median nerve anatomy, stimulation parameters, and the rationale for MNS as a low-cost, noninvasive neuromodulation strategy. Reviews retrospective cohort findings using MMSE, ADL, and P300 event-related potentials demonstrating cognitive, functional, and neurophysiological improvement without adverse effect.
- Electro-Neuromodulation of Motor Control and Tic Suppression
- Explores how rhythmic peripheral nerve stimulation modulates cortical–subcortical motor circuits to suppress involuntary movements.
- Central Modulation of Reflexes by Electrical Stimulation
- How electro-neuromodulation influences higher-order control of basic reflexes across species, linking attention and neural state to reflex output. Explores sympathetic and parasympathetic pathways of the PLR and their modulation through central and peripheral electrical stimulation.
- Transcutaneous Electrical Nerve Stimulation (TENS) in Ischemic Stroke
- Reviews experimental evidence showing TENS reduces infarct volume, oxidative stress, neuroinflammation, and neurological deficit after cerebral ischemia.
- Foundations of Electrical Neuromodulation
- Historical evolution from galvanism to precision AC protocols. Basic physics of current flow, tissue impedance, and safety considerations for clinical application.
- AC vs DC: Waveform Science and Clinical Applications
- Comparative analysis of alternating versus direct current effects. Charge balance, electrochemical reactions, and why AC provides superior neuroplasticity outcomes.
- Rheobase, Chronaxie, and Fiber Recruitment
- Strength-duration relationships governing axonal excitation. Pulse width selection for targeting specific fiber types and optimizing therapeutic responses.
- Parameter Control and Device Programming
- Electrode geometry, frequency selection, duty cycles, and amplitude titration. Systematic approach to parameter optimization for different clinical goals
- Four Principles of Peripheral Neuromodulation
- Applications of the Labeled Line Theory, Central Integrated State, Entrainment, and Convergence. Neurophysiological foundations for systematic protocol development.
- Median Nerve Stimulation Protocols
- Anatomical targeting, cortical activation pathways, and clinical applications. Evidence base for cognitive enhancement and motor priming protocols.
- Ulnar and Radial Nerve Applications
- Upper extremity neuromodulation for bilateral cortical activation. Paired associative stimulation and hemispheric balance protocols.
- Trigeminal Nerve Stimulation Systems
- Branch-specific autonomic effects and central projections. Protocols for cerebral blood flow, arousal, and autonomic regulation.
- Translingual Trigeminal Stimulation
- Dual CN V/VII activation through lingual protocols. Balance, vestibular, and cognitive applications with supporting research evidence.
- Transcutaneous Vagal Nerve Stimulation
- Auricular and cervical approaches to vagal activation. Anti-inflammatory pathways, HRV optimization, and neuroplasticity enhancement.
- Lower Extremity Neuromodulation
- Tibial nerve protocols for bladder dysfunction and pain. Peroneal stimulation for gait, balance, and orthostatic regulation.
- Clinical Protocol Integration
- Combining multiple stimulation sites for synergistic effects. Treatment sequencing, session timing, and protocol progression strategies.
- Troubleshooting and Safety Considerations
- Managing treatment responses, contraindications, and adverse effects. Device selection criteria and quality assurance protocols.
Venue, Hotels & Schedule
Also includes
Alternating Currents in Neuromodulation
Elevate your neuromodulation skills. Learn to apply Professor Carrick’s protocols to optimize brain activity, mood, motor output, and autonomic function.
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