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Proposing a new algorithm for premanipulative testing in physical therapy practice.

Brent Harper¹, Daniel Miner², Harrison Vaughan³

¹Crean College of Health and Behavior Sciences, Chapman University: 9401 Jeronimo Road, Irvine, CA 92618, USA.

Journal of Physical Therapy Science

|December 7, 2020

Summary

This summary is machine-generated.

Physical therapists debate the use of premanipulative vascular assessments. This analysis reviews cervical artery dysfunction (CAD) risks and suggests an optimal testing sequence before cervical spine manipulation (CSM).

Keywords:

Algorithm Cervical Manipulation

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Area of Science:

Physical Therapy
Neurology
Vascular Medicine

Background:

Clinical utility of premanipulative vascular assessments before cervical spine manipulation (CSM) is debated.
Cervical artery dysfunction (CAD) risk assessment requires differentiating spontaneous from mechanical vascular events.
Current literature lacks a standardized approach to premanipulative vascular testing.

Purpose of the Study:

To discuss the association between CSM and CAD.
To examine existing literature on premanipulative vascular tests.
To propose an optimal sequence for premanipulative vascular testing based on event differentiation.

Main Methods:

Inductive literature analysis.
Systematic review of studies on CSM, CAD, and premanipulative vascular testing.
Synthesis of evidence to inform clinical decision-making.

Main Results:

Evidence linking CSM to CAD is inconclusive but warrants caution.
Various premanipulative tests exist, assessing different vascular parameters.
A sequential testing approach can enhance diagnostic accuracy.

Conclusions:

Understanding the purpose and application of each vascular test is crucial.
An evidence-informed sequence of premanipulative vascular assessment can improve patient safety before CSM.
Further research is needed to establish definitive guidelines for premanipulative vascular assessment.