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Altered Haemodynamics

Cervical Arterial Dysfunction

a systems based approach ...

IFOMPT CAD Cervical Spine Risk Assessment Framework 2012

From endofibrosis to cervical arterial dysfunction...

Then we discovered that blood vessels can

be a source of pain ...

Endofibrosis of the external iliac

artery... revolutionised the assessment of leg pain in athletes...

Profile: Neck pain & headache ... any age group...!

Blood vessels ARE soft tissues!

They ...

Are contained in a fascial sheath

Carry life blood

Provide nutrition to the nerves

Can be a source of pain!

Distally; Ischaemia

Locally; via nociceptors

Taylor A J & Kerry R 2013

The Altered Haemodynamics Story

Taylor AJ, George KP. Ankle to brachial pressure index in normal subjects and trained cyclists with exercise-induced leg pain

Profile: ANY age group/fitness level

Med Sci Sports Exerc 2001;33(11):1862e7.

Vascular assessment in musculoskeletal examination

Profile: young fit athletes

We found that arteries could be injured ...!

Traumatic occlusion of the external iliac artery in a racing cyclist: a cause of ill defined leg pain.

Taylor AJ, Tennant WG, Batt ME,

Wallace WA. Br J Sports Med 1997;31(2):155e6.

DVT following soft

tissue injury....

Profile: young fit athletes

Physiotherapy, June 2001, 87(6), 282-284.

http://www.nottingham.ac.uk/

Implications for athletes...

Upper limb flow problems...

Profile: any age group

Music ... 'DH Lawrence & The Vaudeville Skiffle Show'

In the beginning ....

As manual therapists...The only blood vessel in our view was the vertebral artery ....

Profile: young fit throwers/athletes .....

Feedback is always welcome

Then we got smarter ....

To feedback or for further information ....

Implications for manual therapists...?

Contact;

alan.taylor@nottingham.ac.uk ... or @TaylorAlanJ

roger.kerry@nottingham.ac.uk ... or @rogerkerry1

For details on Altered Haemodynamics & Cervical Arterial Dysfunction

Courses contact;

http://www.heseminars.com/

The aorta ... a source of low back pain ...?

Profile: 60y+ males...

Profile: ALL MANUAL THERAPISTS

Profile: all age groups

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