Happy Brain Concussion Care

Trauma-Free Treatment℠


The Happy Brain program is a neuro-muscular based approach to evaluation and treatment of concussed patients. Neurological dysfunction is objectively identified and manually manipulated with Trauma-Free Treatment℠ protocols to address concussion related signs and symptoms.

The Happy Brain program is a network of certified providers that are trained to evaluate and treat mild traumatic brain injured patients, both acute and chronic, using Trauma-Free Treatment℠ protocols.

Happy Brain© Provider Certification

Happy Brain© neurological evaluation procedures:

  • Vestibulo-Occular Reflex
  • Visual Error Scoring System
  • Cranial Nerve 5 Test – Bite Test
  • Cranial Nerve 7 Test – Cheek Puff
  • Cranial Nerve 12 Test – Tongue
  • Jaw Function Test
  • Balance Test

Happy Brain© Certification

Healthcare providers can become certified by completing intensive training in evaluation and treatment protocols.

Course Objectives


Describe pathophysiology as it relates to concussions.


Discuss the diagnosis and prognosis of concussions.


Review concussion red flags and dangers of manipulation.


Understand the health concerns of pediatric athletes.


Explore diagnostic tests to evaluate concussion status.


Demonstrate non-thrust treatment techniques.


Introduce the half-somersault maneuver for vertigo relief.


Address cranial nerve lesions with manipulation techniques.


Explore sleep strategies for concussed patients.


Incorporate nutritional support for better brain function.


Discuss effects of strength and cardio exercise on the brain.


Apply mobility exercises to improve musculoskeletal function.


Integrate PreActive StretchingSM protocols to improve agility.


Explain return to lifestyle guidelines.


Understand modifying factors for RTP.

Happy Brain Concussion Care – Provider Certification

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Happy Brain© Training Program

Happy Brain© Training Program Test Questions

The type of forceful manipulative thrust of the upper cervical spine which has the greatest risk is with a _____ element ?

a) lateral
b) rotational*
c) distraction
d) anterior to posterior

A definitive sign of concussion is ?

a) excessive sleep
b) amnesia
c) headache
d) loss of consciousness*

Diagnostic evaluation for concussion includes all except?

a) oculomotor function
b) olfactory function*
c) balance movements
d) cognitive testing

The most common fatal brain injury for the pediatric population is?

a) Alzheimer’s
b) dementia pugilistica
c) post concussion syndrome
d) second-impact syndrome*

The most common cognitive sign of concussion is ?

a) excessive sleep
b) irritability
c) headache
d) confusion*

Concussion red flags includes all except ?

a) nausea*
b) vomiting
c) degrading coordination
d) unconsolable infant

The temporals muscle attaches to the?

a) jaw*
b) tongue
c) inner ear
d) maxilla

Nausea can be caused by tension on the ______ nerve at the C1 level.

a) occipital
b) auricular
c) hypoglossal
d) vagus*

Nutritional support includes all of the following except ?

a) coconut oil
b) caffeine*
c) omega 3
d) water

Sleep strategies include all of the following except ?

a) darkened room
b) noise free environment
c) dim night light*
d) phone ringer off

Dizziness can be reduced by the patient performing ?

a) Epley maneuver
b) half somersault maneuver*
c) cardiovascular exercise
d) resistance exercise

Conservative treatment for acute concussions includes all except?

a) HVLA adjusting*
b) cognitive rest
c) physical rest
d) decompression/traction

Ball to wall cervical exercises are designed to improve?

a) half somersault maneuver
b) cardiovascular endurance
c) muscle power output
d) joint/muscle mobility*

Return to work/school guidelines do not include?

a) reduced computer use
b) avoid stressful environments
c) work until fatigued*
d) naps at work/school

The most profound modifying factor for returning a TBI patient to activity is?

a) loss of consciousness*
b) nausea
c) emotional lability
d) sleep disorders

Cervical stretching exercises should be performed?

a) slow and painfree*
b) fast to increase blood flow
c) to the end range of motion
d) statically for 60 seconds

“After 25 years of practice, I can still learn new skills. Thanks Dr. Turnbull for an excellent seminar.”

Dr. George Ruggi, DC, CCSP –

New York

(503) 805-3865


3205 SE 13th Ave, #300 Portland, OR 97202