Relationship between the duplex Doppler ultrasound and a questionnaire screening for positional tolerance of the cervical spine in subjects with suspected vascular pathology: a case series pilot study.
Manual therapy healthcare practitioners routinely perform the vertebral artery test (VAT) to determine cervical positional tolerance and to screen for vertebrobasilar insuficiency (VBI) prior to manipulating the cervical spine. Because the safety and validity of the VAT has been questioned in the li...
| Publicado en: | Journal of Manual & Manipulative Therapy (Journal of Manual & Manipulative Therapy) Vol. 15; no. 4; pp. 225 - 231 |
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| Autores principales: | , , , , |
| Formato: | questionnaire/scale research tables/charts Journal Article |
| Publicado: |
Journal of Manual & Manipulative Therapy
2007
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105896985&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105896985 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10669817 1DS jtl: Journal of Manual & Manipulative Therapy (Journal of Manual & Manipulative Therapy) issn: 10669817 maglogo: N pubinfo: dt: 2007 vid: 15 iid: 4 pid: 2525 pub: Journal of Manual & Manipulative Therapy place: Forest Grove, Oregon artinfo: ui: 105896985 2009809926 10.1179/106698107790819378 105896985 ppf: 225 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Relationship between the duplex Doppler ultrasound and a questionnaire screening for positional tolerance of the cervical spine in subjects with suspected vascular pathology: a case series pilot study. aug: au: Johnson EG Houle S Perez A San Lucas S Papa D affil: Department of Physical Therapy, Loma Linda University, Nichol Hall office #1900, Loma Linda, CA 92350; ejohnson@llu.edu sug: subj: Cervical Vertebrae Physiopathology Manual Therapy Ultrasonography, Doppler Vertebral Artery Pathology Adult Confidence Intervals Female Male Odds Ratio Pilot Studies Questionnaires Sample Size Sensitivity and Specificity Human Adult: 19-44 years Female Male ab: Manual therapy healthcare practitioners routinely perform the vertebral artery test (VAT) to determine cervical positional tolerance and to screen for vertebrobasilar insuficiency (VBI) prior to manipulating the cervical spine. Because the safety and validity of the VAT has been questioned in the literature, the purpose of this study was to determine if a relationship existed between a new tool, the cervical positional tolerance questionnaire (CPTQ), and the duplex Doppler ultrasound indings for patients with suspected VBI. Subjects were 39 consecutive patients referred by their physician for a duplex Doppler ultrasound with suspicion of VBI. On the CPTQ, patients reported whether they avoided certain cervical positions due to symptoms consistent with VBI prior to undergoing the ultrasound. The CPTQ had a sensitivity = 1.00 (95% CI: 0.34-1.00); specificity = 0.78 (95% CI: 0.64-0.92); negative likelihood ratio = 0.00 (95% CI: 0.02?2.73); and positive likelihood ratio = 4.50 (95% CI: 1.67-7.89). The results of this case series study, while preliminary, are encouraging. Further research with larger sample sizes is warranted in the development of the CPTQ regarding pre-cervical manipulation clinical decision-making. Inclusion of subjects from a cohort including asymptomatic people (no suspicion of VBI) would also strengthen the screening ability of the CPTQ. In addition to duplex Doppler ultrasound, using a gold standard test of vertebral artery testing by way of magnetic resonance angiography (MRA) would further improve data on the diagnostic utility of the CPTQ. pubtype: Academic Journal doctype: questionnaire/scale research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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