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 arterial complications, and the MACP's position on pre-cervical spine treatment screening. This review attempts to provide an evidence-based information source to further facilitate clinicians understanding of the effect of manual therapy on the cervical spine with regards to cervical blood flow.

Published on the MACP website.

View Clincal Summary and New Cervical Artery Assessment Framework.