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Course Title: Cervical Spinal Manipulative Therapy (CSMT) and Vertebrobasilar Ischemia (VBI)
Course Instructor: Joseph S. Ferezy, DC
CE: Eight (8) Classroom Hours
The chiropractic neurologist is uniquely qualified to be the world's foremost authority on the complex issue of cervical adjustments and any relation to cerebrovascular accidents (CVA). This class is designed to thoroughly discuss the issue of Cervical Spinal Manipulative Therapy (CSMT) and subsequent Vertebrobasilar Ischemia (VBI).
Outline methods used and estimations as to the incidence of cervical spinal manipulative therapy and subsequent vertebrobasilar ischemia.
Review and describe cerebrovascular anatomy and hemodynamics.
Discuss proposed patho-physiological mechanisms believed responsible for subsequent vertebrobasilar ischemia.
Review and discuss past and present scientific literature to explore the evolution of what we think we know about the process of cervical spinal manipulative therapy and subsequent vertebrobasilar ischemia.
Identify radiographic signs of a vertebral artery dissection.
List and discuss the uses, pros and cons of current examination tools as they apply to vertebral artery dissection.
Explore issues and examination procedures related to patient assessment as well as vertebrobasilar ischemia recognition and proper diagnosis.
Define and contrast currently suggested procedures and develop a vertebrobasilar ischemia plan of action.
Explore various perspectives and reveal bias in both public media and biomedical journals.
Identify and define new theoretical concepts and prophylactic therapies.
Give multiple examples of anti-chiropractic bias in the biomedical literature
List and describe the most common red flags for a patient “at risk” for suffering Vertebrobasilar Ischemia following cervical manipulation.
Recite list of scientific studies relating to laboratory testing of plasma Homocystine levels and its relationship to Vertebrobasilar Ischemia from vertebral artery dissection.
List examples of bias against chiropractic cited in both the popular media as well as in biomedical journals.
Critically review landmark articles regarding the issue of cervical manipulation and vertebrobasilar distribution ischemia.
List studies suggesting that a high plasma homocystine level may be associated with vertebrobasilar dissection.
Cite studies suggesting that increasing folic acid intake can reduce plasma Homocystine levels.
Identify laboratory tests that may be useful in helping calculate an individual’s risk of suffering vertebrobasilar stroke following cervical manipulation.