STROKE AND MANIPULATION 105

Course overview

*Cite the strength of evidence about whether chiropractic neck manipulation causes cervical artery dissection (CAD) based on a systematic review, meta-analysis, and evaluation of the body of evidence as a whole. *Summarize our current state of knowledge on cervical artery dissection and how it impacts the practice of cervical spinal manipulation. *Outline the state of knowledge regarding bedside diagnosis and management of an acute vestibular syndrome, with the suspicion for stroke. *Describe the demographics, past health care utilization, and comorbidities of vertebrobasilar artery stroke patients in Ontario, Canada who consulted a chiropractor within one year prior to their stroke. *Analyze the nature of internal carotid artery biomechanics and associated risk of injury during cervical spinal manipulation.