Corpus ID: 74110481

Clinical Guidelines for Assessing Vertebrobasilar Insufficiency in the Management of Cervical Spine Disorders

@inproceedings{Rivett2006ClinicalGF,
  title={Clinical Guidelines for Assessing Vertebrobasilar Insufficiency in the Management of Cervical Spine Disorders},
  author={D. Rivett and D. Shirley and M. Magarey and K. Refshauge},
  year={2006}
}
Comparison of CPG’s for the diagnosis, prognosis and management of non-specific neck pain: a systematic review
TLDR
The majority of CPGs were developed for general NP that focused on treatment recommendations, with fewer number aimed at recommendations for diagnosis, prognosis, and outcomes. Expand
International framework for examination of the cervical region for potential of cervical arterial dysfunction prior to orthopaedic manual therapy intervention
TLDR
The purpose of the framework is to provide guidance to clinicians for the assessment of the cervical region for potential of Cervical Arterial Dysfunction in advance of planned management (inclusive of manual therapy and exercise interventions). Expand
Efficacy of manipulation for non-specific neck pain of recent onset: design of a randomised controlled trial
TLDR
This paper presents the rationale and design of a randomised controlled trial to compare the effectiveness of neck manipulation and neck mobilisation for acute and subacute neck pain. Expand
Spinale Chiropraktische Manipulation (spinale HVLAM)
Zusammenfassung Die moderne Chiropraktik entstand nahezu zur selben Zeit wie die Osteopathie, und beide Grunder, David D. Palmer und Andrew T. Still, wandten „Knochen-Einrenken” und „Magnetismus” an.Expand
Eagle's syndrome, elongated styloid process and new evidence for pre-manipulative precautions for potential cervical arterial dysfunction.
TLDR
This masterclass aims to outline the safety concerns, assessment and management of patients with Eagle's syndrome and styloid anomalies by providing evidence of this common anomaly found in almost one-third of the population, hypothesis generation and clinical reasoning with patients presenting with head and neck symptoms can improve. Expand
Effects of Cervical Rotation Angle on Atherosclerotic Internal Carotid Artery Blood Flow: A Safety Study Using an Animal Model of Internal Carotid Atherosclerosis.
TLDR
In the rabbits with hyperlipidemia but without atherosclerotic stenosis, CRA had the greatest impact on ICA-BF, and at some of the same CRAs (especially neutral, 30°, and 60°), there were statistical differences in I CA-BF among the 3 groups. Expand
Proposing a new algorithm for premanipulative testing in physical therapy practice
TLDR
The link between cervical spine manipulation (CSM) and CAD is discussed, the literature on premanipulative vascular tests is examined, and an optimal sequence of pre manipulative testing is suggested based on the differentiation of a spontaneous versus mechanical vascular event. Expand
Yes, we should abandon pre-treatment positional testing of the cervical spine.
TLDR
VBI tests are not able to predict MAE and seem not to have any added value to the patient interview with regard to detecting VBI or another vascular pathology, and a negative VBI test can be wrongly interpreted as 'safe to manipulate', therefore the use of VBI tests cannot be recommended and should be abandoned. Expand
A risk–benefit assessment strategy to exclude cervical artery dissection in spinal manual-therapy: a comprehensive review
TLDR
Clinicians are provided with an updated step-by-step risk–benefit assessment strategy tool to facilitate clinicians understanding of CAD, appraise the risk and applicability of cervical manual-therapy, and provide clinicians with adequate tools to better detect and exclude CAD in clinical settings. Expand
Australian musculoskeletal physiotherapist's perceptions, attitudes and opinions towards pre-manipulative screening of the cervical spine prior to manual therapy: Report from the focus groups.
TLDR
The Australian Physiotherapy Association 2006 VBI Guidelines are due for revision incorporating recent research findings, international guides, and member's recommendations, and sound knowledge translation processes are then needed to ensure that the Guidelines are incorporated into practice. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 35 REFERENCES
Carotid and Vertebral Artery Dissection Syndromes.
TLDR
TIA and progressing stroke in young patients are presenting features of CAD and VAD, and the experience shows that anticoagulation is the treatment of choice, although controlled studies to show their effectiveness are lacking. Expand
Is it time to stop functional pre-manipulation testing of the cervical spine?
TLDR
The usefulness of functional pre-manipulation testing for clinical scenarios, involving dissection, spasm or stenosis of the vertebral artery, is considered and the following recommendations are made. Expand
Pre-manipulative testing: where do we go from here?
TLDR
The validity of provocative positional tests to challenge the integrity of the vascular supply to the brain is examined in light of recent studies involving ultrasound scanning of the vertebral arteries in subjects who also had provocative tests performed. Expand
Adverse effects of cervical manipulative therapy
  • Grieve’s Modern Manual Therapy of the Vertebral Column (3 ed.,
  • 2004
Doppler studies evaluating the effect of a physical therapy screening protocol on vertebral artery blood flow.
TLDR
The pre-manipulative hold and rotation created the greatest mechanical stress to the contra-lateral vertebral artery, and these two positions may be useful screening positions to identify individuals at risk for VBI due to inadequate collateral blood flow. Expand
Is cervical spine rotation, as used in the standard vertebrobasilar insufficiency test, associated with a measureable change in intracranial vertebral artery blood flow?
TLDR
This study supports the use of the VBI test, in the absence of a more specific, sensitive and valid test, to assess the adequacy of hindbrain blood supply to identify those patients who may be at risk of serious complications post-manipulation. Expand
Pre-manipulative testing of the cervical spine review, revision and new clinical guidelines.
TLDR
The results suggest that the use and interpretation of the protocol are variable among members of MPA, and the risk of adverse effects from manipulative (musculoskeletal) physiotherapy practice, including cervical manipulation, appears to be very low. Expand
The vertebral artery and vertebrobasilar insufficiency
  • Grieve’s Modern Manual Therapy of the Vertebral Column (3 ed.,
  • 2004
Changes in vertebral artery blood flow following normal rotation of the cervical spine.
TLDR
Maximal rotation of the cervical spine may significantly affect vertebral artery blood flow, particularly when used in the treatment of patients with underlying vascular pathology. Expand
The effect of cervical rotation on blood flow in the contralateral vertebral artery.
TLDR
Investigation of cervical movement tests using duplex Doppler ultrasound with real-time imaging and colour flow enhancement found peak velocity was less in both vertebral arteries on return to the neutral position as compared with end range rotation, however the difference was significant for the left vertebral artery only. Expand
...
1
2
3
4
...