Manual Therapy and Cervical Arterial Dysfunction

Title

Manual Therapy and Cervical Arterial Dysfunction

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Author/s

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Abstract synopsis (Work in Progress)

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This paper offers a contemporary, evidence-based perspective on the issue of adverse neuro-vascular events related to crvical spine manual therapy. The purpose of this perspective is to challenge traditional thought and practice and to recognize areas where practic and rsearch should develop. 

By considering th themes presented in this paper, the clinican can broaden his or hr approach to neurovascular assessment in line with contemporary evidence and thought.

We present information based on clinically relevant questions.

The nature of vertebasilar insufficiency and the utility if pre-treatment testing are examined in light of contemporary evidence.

In addition, we report on internal carotid artery pathology, and the significance of appreciating atherosclerosis in clinical decision-making.

These later two areas are not commonly recongnised within manual therapy litrature, and we suggest that their importance to differntial diagnosis of head and neck pain, as well as estimating treatment related risk, is paramount. 

We propose that the term cervical arterial dysfunction is more appropriate than classically used nomenclature. This term refers more accurately and completely to the range of pathologies at different anatomical sites that manual therapists treating patients with head and neck pain are likely to encounter.

• Recent key publications in the area

Kerry R, Taylor AJ, Mitchell J, McCarthy C, Brew J. Manual Therapy and Cervical Arterial Dysfunction, Directions for the Fuuture: A Clinical Perspective. The Journal of Manual & Manipulative Therapy 2008;16(suppl 1):39-48.  

Kerry R, Taylor AJ. Cervical Arterial Dysfunction Assessment and Manual Therapy. Manual Therapy 2006;11:243-253.

Kerry R, Taylor AJ. Cervical Arterial Dusfunction: Knowledge and Reasoning for Manual Physical Therapists. Journal of Orthopaedic & Sports Physical Therapy 2009;39(suppl 5):378-387. 

Finally, we present a brief review of the medico-legal status pertaining to this area. Although this is English law-related, the themes dervied from this section are of interest to all manual therapists.

Discussion

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Summary

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Funding and Declarations

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Author Biography

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