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Vascular flow limitations affecting the cervico-cranial region: Understanding ischaemia
Alan Taylor1, Roger Kerry1, Firas Mourad2
1Faculty of Medicine and Health Sciences, School of Health Sciences, Division of Physical Therapy and Sport Rehabilitation, University of Nottingham, United Kingdom.
Brazilian Journal of Physical Therapy
|April 7, 2023
Summary
Physical therapists need to understand haemodynamic science for accurate cervical spine risk assessment. This paper proposes
Area of Science:
- Haemodynamics and vascular neuroscience.
- Cervico-cranial arterial flow dynamics.
Background:
- Physical therapy has long considered blood flow and brain ischaemia.
- Consensus on cervical spine risk assessment remains elusive.
- Current terminology like 'vascular pathologies of the neck' is misleading.
Purpose of the Study:
- To describe arterial flow limitations in the cervico-cranial region.
- To integrate haemodynamic knowledge for clinical application.
Main Methods:
- Review of haemodynamic principles and scientific literature.
- Analysis of anatomical and pathological factors influencing cervico-cranial blood flow.
Main Results:
- Identified a variety of arterial flow limitations affecting the cervico-cranial region.
- Highlighted the inadequacy of current terminology.
- Proposed 'vascular flow limitation' as a more accurate and consistent term.
Conclusions:
- Clinicians require a strong understanding of anatomy and haemodynamics for effective cervical spine risk assessment.
- Consistent terminology, such as 'vascular flow limitation', is crucial for clear communication with medical colleagues.
- Appropriate referral for further investigation is necessary in cases of suspected vascular involvement.
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