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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
/ 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
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"

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Cervical Arterial Dysfunction – implications for clinical practice"