#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Dissection of Vertebral Artery as a Complication of Manipulation Therapy


Authors: J. Beňačka
Authors‘ workplace: Interná klinika, Fakultná nemocnica Trnavskej univerzity, Trnava
Published in: Rehabil. fyz. Lék., 26, 2019, No. 1, pp. 17-22.
Category: Original Papers

Overview

Manipulation therapy of aching syndromes of vertebral column performed by physicians or other medical personnel, is increasingly sought by patients as an alternative of medicament therapy. Even the manipulation treatment is not without risk. One of the most often reported complications in literature is the development of dissection of vertebral artery, frequently resulting in occlusion. The contribution reviews literature about anatomical conditions and possible mechanisms during therapeutic manipulation of cervical spine resulting in dissection of one of vertebral arteries. Moreover, the author presents the survey of diagnostic possibilities with emphasis to availability and specific features of ultrasound diagnostic od vertebral artery occlusion.

In conclusion the contribution deals with some recommendations paying attention to a decrease of the risk of possible origin of arterial artery damage.

Keywords:

manipulation therapy – dissection of vertebral artery – cervical spine – sonography of cervical vessels


Sources

1. BILLER, J., SACCO, R. L., ALBUQUERQUE, F. C. et al.: Cervical arterial dissections and association with cervical manipulative therapy: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 45, 2014, č. 10, s. 3155-3174.

2. BRONFORT, G., EVANS, R., ANDERSON, A. V.: Spinal manipulation, medication, or home exercise with advice for acute and subacute neck pain: a randomized trial. Ann. Inter. Med., 156, 2012, č. 1, s. 1-10.

3. CASSIDY, J. D., BOYLE, E., COTE, P. et al.: Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and case-crossover study. Spine, 33, 2008, č. 4, Suppl, s. 176-183.

4. COULTER I. D., SHEKELLE, P. G., MOOTZ, R. D., HANSEN, D. T.: The use of expert panel results: the RAND panel for appropriateness of manipulation and mobilization of the cervical spine. Topics in Clinical Chiropractic,1995, č. 2, s. 54-62.

5. DI FABIO, R. P.: Manipulation of the cervical spine: Risks and benefits. Physical Therapy, 79, č. 1, s. 50-65.

6. ERHARDT, J. W., WINDSOR, B. A., KERRY, R. et al.: The immediate effect of atlanto-axial high velocity thrust techniques on blood flow in the vertebral artery: A randomized controlled trial. Manual Therapy, 20, 2015, č. 4, s. 614-622.

7. GROSS, A., LANGEVIN, P., BURNIE, S. J. et al.: Manipulation and mobilisation for neck pain contrasted against an inactive control or another active treatment. The Cochrane Database of Systematic Reviews, 2015, č. 9, s. 42-49.

8. HAYNES, M. J.: Doppler studies comparing the effects of cervical rotation and lateral flexion on vertebral artery blood flow. J. Manipulative Physiol. Ther., 1996, č. 19, s. 378-384.

9. KLOUGART, N., LEBOEUF-YDE, C., RASMUSSEN, L. R.: Safety in chiropractic practice, part I: the occurrence of cerebrovascular accidents after manipulation to the neck in Denmark from 1978–1988. J. Manipulative Physiol. Ther., 1996, č. 19, s. 371-377.

10. KUETHER, T. A., NESPIT, G. M., CLARK, W. M. et al.: Rotational vertebral artery occlusion: A mechanism of vertebrobasilar insufficiency. Neurosurgery, 41, 1997, č. 1, s. 427-433,

11. MILEY, M. L., WELLIK, K. E., WINGERCHUK, D. M. et al.: Does cervical manipulative therapy cause vertebral artery dissection and stroke? The Neurologist., 14, 2008, č. 1, s. 66-73.

12. PARENTI, G., ORLANDI, G., BIANCHI, M. et al.: Vertebral and carotid artery dissection following chiropractic cervical manipulation. Neurosurgical Review. 22, 1999, č. 2-3, s. 127-129.

13. PRATT-THOMAS, H. R., BEREGER, K. E.: Cerebellar and spinal injuries after chiropractic manipulation. J. Am. Med. Assoc., 133, 1947, č. 9, s. 600-603. 

14. QUESNELE, J. J., TRIANO, J. J., NOSEWORTHY, M. D. et al.: Changes in vertebral artery blood flow following various head positions and cervical spine manipulation. Journal of Manipulative and Physiological Therapeutics, 37, 2014, 1, s. 22-31.

15. RIVETT, D. A., MILBURN, P.: A prospective study of complications of cervical spine manipulation. Journal of Manual Manipulative Therapy. 1996, č. 4, s. 166 -170.

16. ROTHWELL, D. M., BONDY, S. J., WILLIAMS, J. I.: Chiropractic manipulation and stroke: A population-based case-control study. Stroke, 32, 2001, č. 5, s. 1054-1060.

17. SMITH, W. S., JOHNSTON, S. C., SKALABRIN, E. J.: Spinal manipulative therapy is an independent risk factor for vertebral artery dissection. Neurology, 13, 2003, č. 9, s. 1424-1428.

18. THIEL, H., WALLACE, K., DONAT, J., YONG-HING, K.: Effect of various head and neck positions on vertebral artery flow. Clinical Biomechanics, 1994, č. 9, s. 105-110.

19. XUEMEI, C., RAZMARA, C., PAULUS, N. et al.: Case misclassification in studies of spinal manipulation and arterial dissection. J. Stroke Cerebrovasc Dis., 23, 2014, č. 8, s. 2031-2035.

Labels
Physiotherapist, university degree Rehabilitation Sports medicine
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#