Treatment of the cervical spine often involves some degree of manual therapy or manipulation, and VBI testing is generally encouraged or required prior to this. In this episode of the Physio Edge podcast, Roger Kerry, a Physiotherapist, Lecturer and Researcher from Nottingham University and David Pope discuss Cervical Arterial Dysfunction (CAD), the accuracy and limitations of VBI testing, and a lot of other good stuff, including:

• Cervical Arterial Dysfunction (CAD), and VBI
• Why is it important for clinicians to know about CAD
• The limitations of VBI testing
• Clues within the history to alert you to the possibility of CAD
• Symptoms of CAD
• 2 types/causes of dizziness and differentiation
• The 5 Ds and 3 N’s – what are the limitations of this approach
• Signs & Symptoms of Cerebral and retinal ischaemia
• Aetiology
• Upper cervical instability
• As clinicians, where should CAD and VBI testing lead our assessment, treatment and investigations?
• When can we conservatively treat someone with these symptoms
• Monitoring – during and post rx
• Contraindications to Rx

Links of interest

• Clinical Edge
• Free membership to Clinical Edge!
• Roger Kerry on Twitter @rogerkerry1
• Roger Kerry’s profile at Nottingham University – Physiotherapy
• Roger Kerry’s profile at Nottingham University – Philosophy
• Courses with Roger Kerry
• Contact David
• David on Twitter