Stroke and Manipulation - Chiropractic Assistant

Stroke and Manipulation 106
Cervical Spinal Manipulative Therapy (CSMT) and Vertebrobasilar Ischemia (VBI)


$80.00 USD

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  • Outline methods used and estimations as to the incidence of vertebrobasilar ischemia.
  • Review and describe cerebrovascular anatomy and hemodynamics
  • Discuss proposed patho-physiological mechanisms believed responsible for subsequent vertebrobasilar ischemia.
  • Review and discuss past and present scientific literature to explore the evolution of what we think we know about the process of cervical spinal manipulative therapy and potential vertebrobasilar ischemia.
  • Identify radiographic signs of a vertebral artery dissection.
  • List and discuss the uses, pros and cons of current examination tools as they apply to vertebral artery dissection.
  • Explore issues and examination procedures related to patient assessment as well as vertebrobasilar ischemia recognition
  • Define and contrast currently suggested procedures
  • List and describe the most common red flags for a patient “at risk” for suffering Vertebrobasilar Ischemia
  • Recite list of scientific studies relating to laboratory testing of plasma Homocystine levels and its relationship to Vertebrobasilar Ischemia from vertebral artery dissection.
  • List examples of bias against chiropractic cited in both the popular media as well as in biomedical journals.
  • Critically review landmark articles regarding the issue of cervical manipulation and vertebrobasilar distribution ischemia.
  • List studies suggesting that a high plasma homocystine level may be associated with vertebrobasilar dissection.
  • Cite studies suggesting that increasing folic acid intake can reduce plasma Homocystine levels.
  • Identify laboratory tests that may be useful in helping calculate an individual’s risk of suffering vertebrobasilar stroke

Joseph Ferezy, DC, DACAN, FIACN

AudioVisual Course

Stroke and Manipulation 101 - 104

$240.00 USD

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  • This contains all courses with the educational objectives listed from Stroke and Manipulation 101 through Stroke and Manipulation 104


AudioVisual Course
Multiple Formats

Stroke and Manipulation 101

Stroke and Spinal Manipulation: Anatomy, Epidemiology, Pathogenesis of Dissections and Triggers, Neurological Syndromes, Clinical Management


$40.00 USD

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  • Illustrate the pathogenesis of CADs ­dissection mechanisms
  • Identify putative causes and triggers of CAD
  • Estimate the purported incidence of cerebrovascular syndromes following cervical manipulation
  • Distinguish between the neurological syndromes
  • Identify stroke risk factors in general
  • Assess the value of pre-manipulation testing: to screen or not to screen?
  • Outline the warning signs/symptoms of CAD
  • Indicate what to include in the patient history and examination
  • Describe what to do if you suspect CAD
  • Point out how to communicate risk to patients as well as implementing strategies to prevent CAD
  • Assess the current literature on the relationship between stroke and manipulation
  • Describe the anatomy of the blood supply to the brain
  • Summarize the clinical biomechanics of vertebral arteries
  • Outline the epidemiology and classification of cervicocerebral (vertebral and internal carotid) arterial dissections (CAD) or strokes
  • Recognize the diseases affecting cervicocerebral arteries

Dean Smith, DC, PhD

AudioVisual Course