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Recognition of patients presenting with or at risk of craniocervical arterial dissection: Preliminary results of a prospective study
Background: Craniocervical arterial dissection (CAD) is a common cause of stroke in young people which in rare cases has been associated with cervical manipulative therapy. The mechanism is considered to involve pre-existing arterial susceptibility and a precipitating event. Pre-manipulative screening tests are limited in their ability to identify those at risk. In particular one difficulty is that the early features of CAD can mimic a painful musculoskeletal presentation and a patient may present for treatment of neck pain and headache with a dissection in progress.
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: L. Thomas, J. Attia, C. Levi, D. Rivett Source Type: research

Seasonal variation in cervical artery dissection in the Hunter New England region, New South Wales, Australia: A retrospective cohort study
Cervical artery dissection (CAD) is a leading cause of ischemic stroke among middle aged adults, yet the aetiology remains poorly understood. There are reports from colder northern hemisphere sites of a seasonal pattern in the incidence of CAD. Seasonality may suggest some transient putative pro-inflammatory mechanism but it is unknown whether this also exists in temperate climates.
Source: Manual Therapy - October 19, 2016 Category: Physiotherapy Authors: Lucy C. Thomas, Andrew P. Makaroff, Chris Oldmeadow, John R. Attia, Christopher R. Levi Tags: Original article Source Type: research

A new way of assessing arm function in activity using kinematic Exposure Variation Analysis and portable inertial sensors – A validity study
Portable motion systems based on inertial motion sensors are promising methods, with the advantage compared to optoelectronic cameras of not being confined to a laboratory setting. A challenge is to develop relevant outcome measures for clinical use. The aim of this study was to characterize elbow and shoulder motion during functional tasks, using portable motion sensors and a modified Exposure Variation Analysis (EVA) and evaluate system accuracy with optoelectronic cameras.Ten healthy volunteers and one participant with sequel after stroke performed standardised functional arm tasks.
Source: Manual Therapy - September 17, 2015 Category: Physiotherapy Authors: Per Ertzgaard, Fredrik Öhberg, Björn Gerdle, Helena Grip Source Type: research

Cervical arterial dissection: an overview and implications for manipulative therapy practice
.Cervical arterial dissection (CAD) is a common cause of stroke in young people under 55years. It can occur spontaneously or subsequent to minor trauma or infection. The incidence is difficult to determine accurately as not all CAD progress to stroke. CAD is the most catastrophic adverse event associated with cervical manipulative therapy but it is rare. Early features of CAD can mimic a painful musculoskeletal presentation and a patient may present for treatment of neck pain and headache with a dissection in progress.
Source: Manual Therapy - July 28, 2015 Category: Physiotherapy Authors: Lucy C. Thomas Source Type: research