The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform

Daryl Gress - One of the best experts on this subject based on the ideXlab platform.

  • spinal Manipulative Therapy is an independent risk factor for vertebral artery dissection
    Neurology, 2003
    Co-Authors: Wade S Smith, S C Johnston, Elaine Skalabrin, Michael T Weaver, P Azari, Gregory W Albers, Daryl Gress
    Abstract:

    Objective: To determine whether spinal Manipulative Therapy (SMT) is an independent risk factor for cervical artery dissection. Methods: Using a nested case-control design, the authors reviewed all patients under age 60 with cervical arterial dissection (n = 151) and ischemic stroke or TIA from between 1995 and 2000 at two academic stroke centers. Controls (n = 306) were selected to match cases by sex and within age strata. Cases and controls were solicited by mail, and respondents were interviewed using a structured questionnaire. The medical records of interviewed patients were reviewed by two blinded neurologists to confirm that the patient had stroke or TIA and to determine whether there was evidence of arterial dissection. Results: After interview and blinded chart review, 51 patients with dissection (mean age 41 ± 10 years; 59% female) and 100 control patients (44 ± 9 years; 58% female) were studied. In univariate analysis, patients with dissection were more likely to have had SMT within 30 days (14% vs 3%, p = 0.032), to have had neck or head pain preceding stroke or TIA (76% vs 40%, p p = 0.021). In multivariate analysis, vertebral artery dissections were independently associated with SMT within 30 days (OR 6.62, 95% CI 1.4 to 30) and pain before stroke/TIA (OR 3.76, 95% CI 1.3 to 11). Conclusions: This case-controlled study of the influence of SMT and cervical arterial dissection shows that SMT is independently associated with vertebral arterial dissection, even after controlling for neck pain. Patients undergoing SMT should be consented for risk of stroke or vascular injury from the procedure. A significant increase in neck pain following spinal Manipulative Therapy warrants immediate medical evaluation.

Bart M Demaerschalk - One of the best experts on this subject based on the ideXlab platform.

  • cervical arterial dissections and association with cervical Manipulative Therapy a statement for healthcare professionals from the american heart association american stroke association
    Stroke, 2014
    Co-Authors: Jose Biller, Bart M Demaerschalk, Ralph L Sacco, Felipe C Albuquerque, Pierre B Fayad, Preston H Long, Lori D Noorollah, Peter D Panagos, Wouter I Schievink, Neil E Schwartz
    Abstract:

    Purpose—Cervical artery dissections (CDs) are among the most common causes of stroke in young and middle-aged adults. The aim of this scientific statement is to review the current state of evidence on the diagnosis and management of CDs and their statistical association with cervical Manipulative Therapy (CMT). In some forms of CMT, a high or low amplitude thrust is applied to the cervical spine by a healthcare professional. Methods—Members of the writing group were appointed by the American Heart Association Stroke Council’s Scientific Statements Oversight Committee and the American Heart Association’s Manuscript Oversight Committee. Members were assigned topics relevant to their areas of expertise and reviewed appropriate literature, references to published clinical and epidemiology studies, morbidity and mortality reports, clinical and public health guidelines, authoritative statements, personal files, and expert opinion to summarize existing evidence and to indicate gaps in current knowledge. Results—...

  • does cervical Manipulative Therapy cause vertebral artery dissection and stroke
    The Neurologist, 2008
    Co-Authors: Madeline L Miley, Kay E Wellik, Dean M Wingerchuk, Bart M Demaerschalk
    Abstract:

    Objective:Does cervical Manipulative Therapy (CMT) cause vertebral arterial dissection (VAD) and subsequent ischemic stroke? What is the best estimate of the incidence of CMT associated with VAD and ischemic stroke?Methods:The questions were addressed with a structured evidence-based clinical neurol

Wade S Smith - One of the best experts on this subject based on the ideXlab platform.

  • spinal Manipulative Therapy is an independent risk factor for vertebral artery dissection
    Neurology, 2003
    Co-Authors: Wade S Smith, S C Johnston, Elaine Skalabrin, Michael T Weaver, P Azari, Gregory W Albers, Daryl Gress
    Abstract:

    Objective: To determine whether spinal Manipulative Therapy (SMT) is an independent risk factor for cervical artery dissection. Methods: Using a nested case-control design, the authors reviewed all patients under age 60 with cervical arterial dissection (n = 151) and ischemic stroke or TIA from between 1995 and 2000 at two academic stroke centers. Controls (n = 306) were selected to match cases by sex and within age strata. Cases and controls were solicited by mail, and respondents were interviewed using a structured questionnaire. The medical records of interviewed patients were reviewed by two blinded neurologists to confirm that the patient had stroke or TIA and to determine whether there was evidence of arterial dissection. Results: After interview and blinded chart review, 51 patients with dissection (mean age 41 ± 10 years; 59% female) and 100 control patients (44 ± 9 years; 58% female) were studied. In univariate analysis, patients with dissection were more likely to have had SMT within 30 days (14% vs 3%, p = 0.032), to have had neck or head pain preceding stroke or TIA (76% vs 40%, p p = 0.021). In multivariate analysis, vertebral artery dissections were independently associated with SMT within 30 days (OR 6.62, 95% CI 1.4 to 30) and pain before stroke/TIA (OR 3.76, 95% CI 1.3 to 11). Conclusions: This case-controlled study of the influence of SMT and cervical arterial dissection shows that SMT is independently associated with vertebral arterial dissection, even after controlling for neck pain. Patients undergoing SMT should be consented for risk of stroke or vascular injury from the procedure. A significant increase in neck pain following spinal Manipulative Therapy warrants immediate medical evaluation.

Neil E Schwartz - One of the best experts on this subject based on the ideXlab platform.

  • cervical arterial dissections and association with cervical Manipulative Therapy a statement for healthcare professionals from the american heart association american stroke association
    Stroke, 2014
    Co-Authors: Jose Biller, Bart M Demaerschalk, Ralph L Sacco, Felipe C Albuquerque, Pierre B Fayad, Preston H Long, Lori D Noorollah, Peter D Panagos, Wouter I Schievink, Neil E Schwartz
    Abstract:

    Purpose—Cervical artery dissections (CDs) are among the most common causes of stroke in young and middle-aged adults. The aim of this scientific statement is to review the current state of evidence on the diagnosis and management of CDs and their statistical association with cervical Manipulative Therapy (CMT). In some forms of CMT, a high or low amplitude thrust is applied to the cervical spine by a healthcare professional. Methods—Members of the writing group were appointed by the American Heart Association Stroke Council’s Scientific Statements Oversight Committee and the American Heart Association’s Manuscript Oversight Committee. Members were assigned topics relevant to their areas of expertise and reviewed appropriate literature, references to published clinical and epidemiology studies, morbidity and mortality reports, clinical and public health guidelines, authoritative statements, personal files, and expert opinion to summarize existing evidence and to indicate gaps in current knowledge. Results—...

De Bruyn, Cornelius Johannes - One of the best experts on this subject based on the ideXlab platform.

  • The effect of ultrasound Therapy and upper cervical Manipulative Therapy as well as the combination thereof on chronic sinusitis
    2017
    Co-Authors: De Bruyn, Cornelius Johannes
    Abstract:

    M.Tech. (Chiropractic)Abstract: Purpose: The purpose of this study was to establish the effect of ultrasound Therapy and upper cervical Manipulative Therapy as well as the combination thereof on chronic sinusitis. Method: Thirty participants who suffered from chronic sinusitis as indicated by the Sino-Nasal Outcome Test, participated in this study. Participants were randomly allocated into three equal groups. Group 1 received upper cervical Manipulative Therapy. Group 2 received ultrasound Therapy on the frontal and maxillary sinuses and Group 3 received a combination of ultrasound Therapy on the frontal and maxillary sinuses as well as upper cervical Manipulative Therapy. The study consisted of seven consultations over a three week period, with intervention on the first six consultations and subjective as well as objective data obtained at the first, fourth and seventh consultations. The intervention for Group 1 consisted of motion palpation of any restriction in the upper cervical spine. Diversified chiropractic techniques were used by the researcher to manipulate the restricted segment. Group 2 received ultrasound Therapy on the frontal and maxillary sinuses and Group 3 received a combination of both cervical Manipulative Therapy as well as ultrasound Therapy on the frontal and maxillary sinuses. Results: The subjective data had a positive average improvement of 74.9 % for Group 1, 68.9 % for Group 2 and 73 % for Group 3. The objective data had a positive average improvement of 34 % for Group 1, 21.9 % for Group 2 and 29.1 % for Group 3. Conclusion: This research thus proved that ultrasound Therapy and upper cervical Manipulative Therapy as well as the combination thereof did benefit participants with chronic sinusitis. Participants had to receive all six treatments to experience a significant difference in their signs and symptoms..

  • The effect of ultrasound Therapy and upper cervical Manipulative Therapy as well as the combination thereof on chronic sinusitis
    2017
    Co-Authors: De Bruyn, Cornelius Johannes
    Abstract:

    Abstract: Purpose: The purpose of this study was to establish the effect of ultrasound Therapy and upper cervical Manipulative Therapy as well as the combination thereof on chronic sinusitis. Method: Thirty participants who suffered from chronic sinusitis as indicated by the Sino-Nasal Outcome Test, participated in this study. Participants were randomly allocated into three equal groups. Group 1 received upper cervical Manipulative Therapy. Group 2 received ultrasound Therapy on the frontal and maxillary sinuses and Group 3 received a combination of ultrasound Therapy on the frontal and maxillary sinuses as well as upper cervical Manipulative Therapy. The study consisted of seven consultations over a three week period, with intervention on the first six consultations and subjective as well as objective data obtained occurred at the first, fourth and seventh consultations. The intervention period for Group 1 consisted of motion palpation of any restriction in the upper cervical spine. Diversified chiropractic techniques were used by the researcher to manipulate the restricted segment. Group 2 received ultrasound Therapy on the frontal and maxillary sinuses and Group 3 received a combination of both cervical Manipulative Therapy as well as ultrasound Therapy on the frontal and maxillary sinuses. Results: The subjective data had a positive average improvement of 74.9 % for Group 1, 68.9 % for Group 2 and 73 % for Group 3. The objective data had a positive average improvement of 34 % for Group 1, 21.9 % for Group 2 and 29.1 % for Group 3. Conclusion: This research thus proved that ultrasound Therapy and upper cervical Manipulative Therapy as well as the combination thereof did benefit participants with chronic sinusitis. Participants had to receive all six treatments to experience a significant difference in their signs and symptoms. This research further proved that no treatment protocol was more beneficial than another for the treatment of chronic sinusitis. Therefore, depending on practitioner’s preference of a treatment protocol, all individuals will still benefit from the three treatments tested