Blood Investigations in Advanced Musculoskeletal Practice at Sheffield Hallam University
This course is designed for physiotherapists working or developing towards an Advanced Practice/Extended Scope role. The module aims to develop an understanding of • blood investigations in advanced musculoskeletal practice • the consequences of such investigations • how blood investigations might influence patient management. The module will promote reflection on the practitioners′ clinical role and [...]
Cervical arterial dysfunction and manual therapy: A critical literature review to inform professional practice
Roger Kerry, Alan J. Taylor, Jeanette Mitchell and Chris McCarthy 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 [...]
Decreased Pulsatile Blood Flow in the Patella in Patellofemoral Pain Syndrome
Jan Näslund, Markus Waldén and Lars-Göran Lindberg The objective of this study was to investigate whether fllexing the knee joint interferes with the perfusion of the patellar bone in patellofemoral pain syndrome. 22 patients with patellofemoral pain syndrome were examined bilaterally, and 33 subjects with healthy knees served as controls. Pulsatile blood flow in the [...]
The etiology of cervical artery dissection
Michael Haneline and Anthony Rosner The etiology of cervical artery dissection (CAD) is unclear, although a number of risk factors have been reported to be associated with the condition. On rare occasions, patients experience CAD after cervical spine manipulation, making knowledge about the cervical arteries, the predisposing factors, and the pathogenesis of the condition of [...]
The Relationship Between Magnetic Resonance Imaging Findings and Postural Maneuver and Physical Examination Tests in Patients With Thoracic Outlet Syndrome: Results of a Double-Blind, Controlled Study
Derya Demirbag, Ercument Unlu, Ferda Ozdemir, Hakan Genchellac, Osman Tem?zoz, Husey?n Ozdem?r and M. Kemal Dem?r The objective of this study was to investigate the differences in findings from magnetic resonance imaging (MRI) in the neutral and provocative positions, and to examine the relationship between these differences and the results of physical examination tests in [...]
Dynamic vertebral artery elongation during frontal and side impacts
Erik J. Carlson, Yasuhiro Tominaga, Paul C. Ivancic and Manohar M. Panjabi Elongation-induced vertebral artery (VA) injury has been hypothesized to occur during nonphysiological coupled head motions during automobile impacts. Although previous work has investigated VA elongation during head-turned and head-forward rear impacts, no studies have performed similar investigations for frontal or side impacts. The [...]
Cervical arterial dysfunction assessment and manual therapy
Roger Kerry and Alan J. Taylor This paper presents a clinical overview of cervical arterial dysfunction (CAD) for manual therapists who treat patients presenting with cervical pain and headache syndromes. An overview of vertebrobasilar arterial insufficiency (VBI) is given, with reference to assessment procedures recommended by commonly used guidelines. A holistic and evidence-based approach to [...]
Cervical Artery Insufficiency and Manipulative Therapy- A Literature Review
This review was commissioned by the Manipulation Association of Chartered Physiotherapists (MACP) in response to demands from the MACP membership. The demands suggested an uncertainty among the members regarding the nature of arterial insufficiency related to the cervical spine (commonly referred to as vertebrobasilar insufficiency (VBI)), the risks of manual therapy with respect to such [...]
Assessment of neuromuscular and haemodynamic activity in individuals with and without chronic low back pain
Melissa D McKeon, Wayne J Albert, J Patrick Neary
This study was designed to examine the
haemodynamic and neuromuscular activity of the erector spinae, biceps
femoris, and gluteus maximus musculature during the Biering-Sørenson
Muscular Endurance Test (BSME). The study concludes that although the BSME has been recognized
as a test for back endurance, individuals with chronic LBP appear to
incorporate a strategy that may help support the back musculature by
utilizing the biceps femoris and
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