J Orthop Sports Phys Ther. 2021 Sep;51(9):418-421. doi: 10.2519/jospt.2021.10408. Epub 2021 May 10.
Vascular serious adverse events can occur after examining, manipulating, mobilizing, and prescribing exercise for the cervical spine. Patients presenting with neck pain and headache who develop a vascular serious adverse event during or after treatment may have vascular flow limitations that go unrecognized and are aggravated by treatment. Patients with neck pain and headache-the first nonischemic symptoms of arterial dissection-frequently access physical therapists as first-point providers, not all of whom have specialist training in orthopaedic manual physical therapy. All physical therapists, irrespective of their training, who are helping patients manage neck pain, headache, and/or facial symptoms must feel confident to identify potential vascular flow limitations of the neck prior to providing treatment. .
血管严重不良事件可能发生在检查、操作、移动和规定颈椎运动之后。有颈痛和头痛的患者在治疗过程中或之后出现血管严重不良事件，可能存在未被识别的血管血流受限，并因治疗而加重。有颈痛和头痛的患者——动脉夹层的最初非缺血性症状——经常首先向物理治疗师就诊，而并非所有物理治疗师都接受过骨科手法物理治疗的专业培训。所有物理治疗师，无论其培训如何，只要在提供治疗前，都必须有信心识别颈部潜在的血管血流受限。
