@philippeverhagen2725

4 years ago

@ Badplus : I read the article you mentioned. It is exactly what physiotutors said: When you rotate to the left: the blood flow to contralateral side is significantly decreased, and the other way round. So : This means you are in fact testing the same side of the rotation, because if the blood flow to this side would also be compromised, then the symptoms would occur (so both sides will be showing less bloodflow). Too bad the used "healthy" subjects and not patients with VBI symptoms. That said however, I agree with the fact that such a degree of extension and rotation could be in fact more dangerous then a HVLA manipulation with no extension. That is why we never manipulate the cervical spine in extension. @ Physiotutors : In my humble opinion, this test should be performed in sitting position and the patient should be asked to actively but carefully extend and rotate the head and then count (similar to the Hautant's test ) He or she will immediately feel symptoms and thus will immediately stop extending or rotating too much. So no passive testing , not even sub maximal. In taking a thorough anamnesis they would probably have mentioned dizziness while looking up/rotating anyway. In my opinion , performing this test passively could be more harmful then gentle HVLA manipulation in 0 extension. Just some thoughts from an osteopath who treats patients with dizziness on a daily basis.

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