Journal of Manipulative and Physiological Therapeutics
Volume 28, Issue 2 , Pages 103-107 , February 2005

Changes in Cerebellar Blood Flow After Manipulation of the Cervical Spine Using Technetium 99m–Ethyl Cysteinate Dimer

  • Barbara Cagnie, PT

      Affiliations

    • Doctoral student, Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium
    • Corresponding Author InformationSubmit requests for reprints to: Barbara Cagnie, PT, Department of Rehabilitation Sciences and Physiotherapy, Ghent University Hospital, De Pintelaan 185, 6K3, B-9000 Ghent, Belgium.
    • ,
  • Filip Jacobs, MSc, PhD

      Affiliations

    • Medical Physicist, Department of Nuclear Medicine, Ghent University Hospital, Ghent, Belgium
    • ,
  • Erik Barbaix, MD

      Affiliations

    • Research Assistant, Department of Human Anatomy, Embryology, Histology and Medical Physics, Ghent University, Ghent, Belgium
    • ,
  • Elke Vinck, PT

      Affiliations

    • Doctoral student, Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium
    • ,
  • Rudi Dierckx, MD, PhD

      Affiliations

    • Professor, Department of Nuclear Medicine, Ghent University Hospital, Ghent, Belgium
    • ,
  • Dirk Cambier, PT, PhD

      Affiliations

    • Professor, Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium

References 

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  2. Vautraver P, Maigne JY. Cervical spine manipulation and the precautionary principle. Joint Bone Spine. 2000;67:272–276
  3. Assendelft WJ, Bouter LM, Knipschild PG. Complications of spinal manipulation: A comprehensive review of the literature. J. Fam. Pract. 1996;42:475–480
  4. Hufnagel A, Hammers A, Schönle P, Böhm K, Leonhardt G. Stroke following chiropractic manipulation of the cervical spine. J. Neurol. 1999;246:683–688
  5. Ernst E. Manipulation of the cervical spine: A systematic review of case reports of serious adverse events, 1995-2001. Med. J. Aust. 2002;176:376–380
  6. Di Fabio RP. Manipulation of the cervical spine: Risks and benefits. Phys. Ther. 1999;79:50–65
  7. Refshauge KM. Rotation: A valid premanipulative dizziness test? Does it predict safe manipulation?. J. Manipulative Physiol. Ther. 1994;17:15–19
  8. Ernst E. Prospective investigations into the safety of spinal manipulation. J. Pain Symptom Manage. 2001;21:238–242
  9. Leboeuf-Yde C, Hennius B, Rudberg E, Leufvenmark P, Thunman M. Side effects of chiropractic treatment: A prospective study. J. Manipulative Physiol. Ther. 1997;20:511–515
  10. Cagnie B, Vinck E, Beernaert A, Cambier D. How common are side effects of spinal manipulation and can these side effects be predicted?. Man. Ther. 2004;93:151–156
  11. Senstad O, Leboeuf-Yde C, Borchgrevnink C. Frequency and characteristics of side effects of spinal manipulative therapy. Spine. 1997;22:435–441
  12. Rivett D, Sharples K, Milburn P. Effect of premanipulative tests on vertebral artery and internal carotid artery blood flow: A pilot study. J. Manipulative Physiol. Ther. 1999;22:368–379
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  14. Catafau A. Brain SPECT in clinical practice. Part I: Perfusion. J. Nucl. Med. 2001;42:259–271
  15. Van Laere K, Dierckx R. Clinical nuclear imaging of the brain. Tijdschr. Geneeskd. 2001;57:5–16
  16. Van Laere K, Dumont F, Koole M, Dierckx R. Non-invasive methods for absolute cerebral blood flow measurement using 99mTc-ECD: A study in healthy volunteers. Eur. J. Nucl. Med. 2001;28:862–872
  17. Klougart N, Leboeuf-Yde C, Rasmussen LR. Safety in chiropractic practice. Part I: The occurrence of cerebrovascular accidents after manipulation to the neck in Denmark from 1978-1988. J. Manipulative Physiol. Ther. 1996;19:371–377
  18. Licht P, Christensen H, Hojgaard P, Marving J. Vertebral artery flow and spinal manipulation: A randomized, controlled and observer-blinded study. J. Manipulative Physiol. Ther. 1998;21:141–144
  19. Licht P, Christensen H, Svendsen P, Hoilund-Carlsen P. Vertebral artery flow and cervical manipulation: An experimental study. J. Manipulative Physiol. Ther. 1999;22:431–435
  20. Licht P, Christensen H, Hoilund-Carlsen P. Vertebral artery volume flow in human beings. J. Manipulative Physiol. Ther. 1999;22:363–367
  21. Terrett A. Current concepts in vertebrobasilar complications following spinal manipulation. In: West Des Moines (Iowa): NCMIC Group Inc.; 2001;p. 36
  22. Adachi B. Das Arteriensystem der Japaner. In: Kyoto: Bd I. Maruzen; 1928;p. 119–137
  23. Terao S, Sobue G, Izumi M, Miura N, Takeda A, Mitsuma T. Infarction of superior cerebellar artery presenting as cerebellar symptoms. Stroke. 1996;27:1679–1681
  24. Marinkovic S, Kovacevic M, Gibo H, Milisavljevic M, Bumbasirevic L. The anatomical basis for the cerebellar infarcts. Surg. Neurol. 1995;44:450–461
  25. Mann T, Refshauge K. Causes of complications from cervical spine manipulation. Aust. J. Physiother. 2001;47:255–266
  26. Mitchell J. Changes in vertebral artery blood flow following normal rotation of the cervical spine. J. Manipulative Physiol. Ther. 2003;26:347–351
  27. Arnold C, Bourassa R, Langer T, Stoneham G. Doppler studies evaluating the effect of a physical therapy screening protocol on vertebral artery blood flow. Man. Ther. 2004;9:13–21
  28. Bonkowsky V, Steinbach S, Arnold W. Vertigo and cranial nerve palsy caused by different forms of spontaneous dissections of internal and vertebral arteries. Eur. Arch. Otorhinolaryngol. 2002;259:365–368

 Sources of support: None declared.

PII: S0161-4754(05)00006-0

doi: 10.1016/j.jmpt.2005.01.005

Journal of Manipulative and Physiological Therapeutics
Volume 28, Issue 2 , Pages 103-107 , February 2005

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