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Cervical Arterial Dysfunction
– implications for clinical
practice
Roger Kerry
OUT WITH THE OLD
…IN WITH THE NEW
APA
VBI-TYPE GUIDELINES
IFOMPT CAD
FRAMEWORK
THE PROBLEM
CONCEPT TOO NARROW
LOWSCORE
RISK
CONCEPT 2
TIME TO DRAW A BIGGER PICTURE
HVT
PASSIVE EXTENSION
RISK 2
NECK AND HEAD
PAINIS A COMMON
EARLY MANIFESTATION
OF CAD
-Kerry et al (2008)
THE RESULTS OF BLOOD
PRESSURE TESTING MAY
PROVIDE DIRECTION
FOR MANAGEMENT OF
PATIENTS
-Taylor & Kerry (2013)
ENHANCE ASSESSMENT…WITH CRANIAL
NERVE AND EYEEXAMINATION
-Taylor & Kerry (2010)
http://mutamorphosis.org/2012/category/addressing-the-future-the-tactics-of-uncertainty/
@rogerkerry1
Class 3:
Pre-ischemia
Somatic
symptoms
(pain)
+/- peripheral
neurology
Class 4:
Early-
ischemia
Transient
brain ischemia
/...
CAD IS AN AREA OF
INCREASING INTEREST AND THE
EVIDENCE BASE
CONTINUES TO
DEVELOP
-Rushton et al (2014)
RISK 3
Cervical Arterial Dysfunction – implications for clinical practice"
Cervical Arterial Dysfunction – implications for clinical practice"
Cervical Arterial Dysfunction – implications for clinical practice"
Cervical Arterial Dysfunction – implications for clinical practice"
Cervical Arterial Dysfunction – implications for clinical practice"
Cervical Arterial Dysfunction – implications for clinical practice"
Cervical Arterial Dysfunction – implications for clinical practice"
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Cervical Arterial Dysfunction – implications for clinical practice"

  1. 1. Cervical Arterial Dysfunction – implications for clinical practice Roger Kerry
  2. 2. OUT WITH THE OLD …IN WITH THE NEW
  3. 3. APA VBI-TYPE GUIDELINES IFOMPT CAD FRAMEWORK
  4. 4. THE PROBLEM
  5. 5. CONCEPT TOO NARROW
  6. 6. LOWSCORE
  7. 7. RISK
  8. 8. CONCEPT 2 TIME TO DRAW A BIGGER PICTURE
  9. 9. HVT
  10. 10. PASSIVE EXTENSION
  11. 11. RISK 2
  12. 12. NECK AND HEAD PAINIS A COMMON EARLY MANIFESTATION OF CAD -Kerry et al (2008)
  13. 13. THE RESULTS OF BLOOD PRESSURE TESTING MAY PROVIDE DIRECTION FOR MANAGEMENT OF PATIENTS -Taylor & Kerry (2013)
  14. 14. ENHANCE ASSESSMENT…WITH CRANIAL NERVE AND EYEEXAMINATION -Taylor & Kerry (2010)
  15. 15. http://mutamorphosis.org/2012/category/addressing-the-future-the-tactics-of-uncertainty/ @rogerkerry1
  16. 16. Class 3: Pre-ischemia Somatic symptoms (pain) +/- peripheral neurology Class 4: Early- ischemia Transient brain ischemia / cranial neurology Class 2: NMS pain with moderate / high vascular risk factors Class 5: Late-ischemia with frank brain ischemia and associated neurology Class 1: NMS pain with no or minor vascular risk factors NottinghamCADClassificationModel
  17. 17. CAD IS AN AREA OF INCREASING INTEREST AND THE EVIDENCE BASE CONTINUES TO DEVELOP -Rushton et al (2014)
  18. 18. RISK 3
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    Apr. 23, 2016

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