Effectiveness of Integrated Manual Therapy In Vertebrobasilar Insufficiency
Keywords:
Vertebrobasilar insufficiency (VBI), Neck Pain DizzinessAbstract
Vertebrobasilar insufficiency (VBI), relates to the transient or permanent reduction or cessation of blood supply to the hindbrain through left and right vertebral and basilar artery. Dizziness is the most common manifestation of VBI. Clinical decision is uncertain, & also there is hardly any literature available on physiotherapy management of VBI. The treatment approach consisted of orthopaedic manual therapy, vestibular rehabilitation and exercises for diplopia along with advice for relief of symptoms of neck pain & headache. The patient showed improvement in terms of pain on VAS, range of motion, functional performance on neck pain disability index and dizziness handicap inventory. It can be concluded from the present study that integrated manual therapy approach is effective in treatment of VBI.
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References
Rivett DA. The vertebral artery and vertebrobasilar insufficiency, In: Boyling J, Jull G, eds. Grieve’s Modern Manual Therapy, 3rd edition. Edinburgh, UK: Churchil Livingston, 2005.
Susan Herdman. Vestibular Rehabilitation. 3rd edition. New Delhi: Jaypee brothers Medical Publishers;2007.
Roger Kerry, Alan Taylor, Jeanette Mitchell, Chris McCarthy, John Brew. Manual Therapy and Cervical Artery Dysfunction, Directions for future: A Clinical Perspective. Journal of manual and Manipulative Therapy. 2008:16(1):39-48
Sean Sevitz, Louis Caplan. Vertebrobasilar disease. The New England Journal Of Medicine. 2005:352:2618-26.
Marcelo Vilelo, Robert Goodkin, David Lundin, David Newell, Rotational Vertebrobasilar Ischaemia: Haemodynamic Assessment and Surgical Treatment. Neurosurgery . 2005:56:36-45.
Ripul Panchal Daniel Hutton, Kee Kim. Bilateral cerebellar infarcts from vertebral artery insufficiency caused by cervical osteophytes, Journal of Spine. 2012:1(4): 1-3
Roger Kerry, Alan Taylor. Cervical arterial dysfunction: Knowledge and Reasoning for Manual Physical Therapist. JOSPT 2009:39(5): 378-387
Medicine ACoS ACSM’s guidelines for exercise testing and prescription. 7th ed. Baltimore: Lippincot Williams Wilkins;2006.
Bandy WD, Irion JM, Briggler M. The effect of time and frequency of static stretching on flexibility of the hamstring muscles. Phys Ther. Oct 1997;77(10): 1090-1096.
Jull G. A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine 2002:27:1835-1843.
Brown JJ. Cervical contributions to balance: cervical vertigo. In: Berthoz A, Vidal PP, Graf W. Eds. The Head Neck Sensory Motor System New York, NY: Oxford University Press; 1992:644-647.
Reid, Rivett DA. Manual Therapy Treatment of cervicogenic dizziness: A systemic review. Man Ther. 2005:10:4-13.
Geoffrey Goats. Physiotherapy Modalities: Continuous short wave (radio – frequency) diathermy. Br J Sp Med. 1989:23(2):123.
Schenk R, Coons L, Bennett S, Huijbregts P. Cervicogenic Dizziness: A case report lllustrating Orthopaedic Manual and Vestibular Physical Therapy Comanagement. J of Manual and Manipulative Therapy. 2006:14(3):E56-E68.
Denise Stern. Eye Exercises for Diplopia Available from http : //www. ehow .com / way _5399736_eye-exercises-diplopia.
Howard Pikoff. Complementary Headache Therapy : A close look at the treatment and the evidence, 2004.
Gay MC, Philippot P, Luminet O. Differential effectiveness of psychological interventions for reducing osteoarthritis pain: a comparison of Erickson Hypnosis and Jacobson relaxation. European J of Pain. 2001:6:1-16.
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