Rushton Alison, Carlesso Lisa C, Flynn Timothy, Hing Wayne A, Rubinstein Sidney M, Vogel Steven, Kerry Roger
J Orthop Sports Phys Ther. 2023 Jan;53(1):7-22. doi: 10.2519/jospt.2022.11147. Epub 2022 Sep 13.
This position statement, stemming from the International IFOMPT (International Federation of Orthopaedic Manipulative Physical Therapists) Cervical Framework, was developed based upon the best contemporary evidence and expert opinion to assist clinicians during their clinical reasoning process when considering presentations involving the head and neck. Developed through rigorous consensus methods, the International IFOMPT Cervical Framework guides assessment of the cervical spine region for potential vascular pathologies of the neck in advance of planned interventions. Within the cervical spine, events and presentations of vascular pathologies of the neck are rare but are an important consideration as part of patient examination. Vascular pathologies may be recognizable if the appropriate questions are asked during the patient history-taking process, if interpretation of elicited data enables recognition of this potential, and if the physical examination can be adapted to explore any potential vasculogenic hypothesis. .
本立场声明源自国际骨科手法物理治疗师联合会(International Federation of Orthopaedic Manipulative Physical Therapists)的颈椎框架,基于当前最佳证据和专家意见制定,旨在帮助临床医生在考虑涉及头颈部的病症时进行临床推理。通过严格的共识方法制定的国际骨科手法物理治疗师联合会颈椎框架,指导在计划干预之前对颈椎区域进行评估,以排查颈部潜在的血管病变。在颈椎范围内,颈部血管病变的情况和表现虽罕见,但作为患者检查的一部分,却是重要的考量因素。如果在患者病史采集过程中提出恰当的问题,如果对所获数据的解读能够识别出这种可能性,如果体格检查能够进行调整以探究任何潜在的血管源性假说,那么血管病变可能是可识别的。