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Chiropractic Doctor


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

4.0

  • 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

$80.00 USD


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