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Cervical arterial dysfunction and manual therapy : a critical literature review to inform professional practice
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Kerry, Roger, Taylor, Alan J., Mitchell, Jeanette and McCarthy, Christopher J. (2008) Cervical arterial dysfunction and manual therapy : a critical literature review to inform professional practice. Manual Therapy, Volume 13 (Number 4). pp. 278-288. ISSN 1356-689X
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Official URL: http://dx.doi.org/10.1016/j.math.2007.10.006
Abstract
An abundance of literature has attempted to provide insight into the association between cervical spine manual therapy and cervical artery dysfunction leading to cerebral ischaemic events. Additionally, specific guidelines have been developed to assist manual therapists in clinical decision-making. Despite this, there remains a lack of agreement within the profession on many issues. This paper presents a critical, re-examination of relevant literature with the aim of providing a contemporary, evidence-informed review of key areas regarding the neurovascular risks of cervical spine manual therapy. From a consideration of case reviews and surveys, haemodynamic principles, and blood flow studies, the authors suggest that: (1) it is currently impossible to meaningfully estimate the size of the risk of post-treatment complications; (2) existing testing procedures have limited clinical utility; and (3) a consideration of the association between pre-existing vascular risk factors, combined with a system based approach to cervical arterial haemodynamics (inclusive of the carotid system), may assist manual therapists in identifying at-risk patients. (C) 2008 Elsevier Ltd. All rights reserved.
| Item Type: | Journal Item |
|---|---|
| Subjects: | R Medicine > RC Internal medicine R Medicine > RM Therapeutics. Pharmacology |
| Divisions: | Faculty of Medicine > Warwick Medical School |
| Library of Congress Subject Headings (LCSH): | Cervical vertebrae -- Diseases -- Physical therapy, Vertebrobasilar insufficiency, Carotid artery -- Diseases -- Physical therapy, Atherosclerosis |
| Journal or Publication Title: | Manual Therapy |
| Publisher: | Churchill Livingstone |
| ISSN: | 1356-689X |
| Date: | August 2008 |
| Volume: | Volume 13 |
| Number: | Number 4 |
| Number of Pages: | 11 |
| Page Range: | pp. 278-288 |
| Identification Number: | 10.1016/j.math.2007.10.006 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Restricted or Subscription Access |
| URI: | http://wrap.warwick.ac.uk/id/eprint/29620 |
Data sourced from Thomson Reuters' Web of Knowledge
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