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Stroke and Manipulation -
Chiropractic Doctor
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Dean Smith, DC, PhD
Joseph Ferezy, DC, DACAN, FIACN
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Shawn Thistle, DC
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Stroke and Manipulation 107 : Artery Forces & Epidemiology Updates
Credit Hours(s)
1.0
Instructors
Shawn Thistle, DC
Price
$20.00 USD
Format(s)
Journal Article Review, Text
Add To Cart
More Course Information ▶
Educational Objectives
Assess the association between cervical spinal manipulation and cervical artery dissection among adults in the United States using insurance claims data
Evaluate the relationship between cervical spinal manipulation and cervical artery dissection among Medicare beneficiaries aged 65–99
Describe the effects of cervical spine manipulation on the vertebral artery concerning length changes and associated tensile forces
Quantify the effects cervical spinal manipulation on angular displacements of the head relative to the sternum as well as associated vertebral artery length changes
Compare the total vertebral artery elongations during cervical spinal manipulation and range of motion procedures
Approved States/Territories
AK
Alaska
BC
British Columbia
CO
Colorado
CT
Connecticut
DE
Delaware
DC
District of Columbia
GU
Guam
ID
Idaho
IL
Illinois
IA
Iowa
KS
Kansas
ME
Maine
MB
Manitoba
MD
Maryland
MA
Massachusetts
MI
Michigan
MN
Minnesota
MO
Missouri
MT
Montana
NE
Nebraska
NB
New Brunswick
NH
New Hampshire
NJ
New Jersey
NY
New York
NC
North Carolina
ND
North Dakota
NS
Nova Scotia
OH
Ohio
ON
Ontario
OR
Oregon
PR
Puerto Rico
RI
Rhode Island
SC
South Carolina
SD
South Dakota
TN
Tennessee
UT
Utah
VT
Vermont
VI
Virgin Islands
VA
Virginia
WA
Washington
WY
Wyoming
YT
Yukon
Stroke and Manipulation 106 : Cervical Spinal Manipulative Therapy (CSMT) and Vertebrobasilar Ischemia (VBI)
Credit Hours(s)
4.0
Instructors
Joseph Ferezy, DC, DACAN, FIACN
Price
$80.00 USD
Format(s)
AudioVisual Course
Add To Cart
More Course Information ▶
Educational Objectives
Outline methods used and estimations as to the incidence of vertebrobasilar ischemia.
Review and describe cerebrovascular anatomy and hemodynamics
Discuss proposed patho-physiological mechanisms believed responsible for subsequent vertebrobasilar ischemia.
Review and discuss past and present scientific literature to explore the evolution of what we think we know about the process of cervical spinal manipulative therapy and potential vertebrobasilar ischemia.
Identify radiographic signs of a vertebral artery dissection.
List and discuss the uses, pros and cons of current examination tools as they apply to vertebral artery dissection.
Explore issues and examination procedures related to patient assessment as well as vertebrobasilar ischemia recognition
Define and contrast currently suggested procedures
List and describe the most common red flags for a patient “at risk” for suffering Vertebrobasilar Ischemia
Recite list of scientific studies relating to laboratory testing of plasma Homocystine levels and its relationship to Vertebrobasilar Ischemia from vertebral artery dissection.
List examples of bias against chiropractic cited in both the popular media as well as in biomedical journals.
Critically review landmark articles regarding the issue of cervical manipulation and vertebrobasilar distribution ischemia.
List studies suggesting that a high plasma homocystine level may be associated with vertebrobasilar dissection.
Cite studies suggesting that increasing folic acid intake can reduce plasma Homocystine levels.
Identify laboratory tests that may be useful in helping calculate an individual’s risk of suffering vertebrobasilar stroke
Approved States/Territories
AK
Alaska
BC
British Columbia
CO
Colorado
CT
Connecticut
DE
Delaware
DC
District of Columbia
FL
Florida
GU
Guam
ID
Idaho
IL
Illinois
IN
Indiana
IA
Iowa
KS
Kansas
ME
Maine
MB
Manitoba
MD
Maryland
MA
Massachusetts
MI
Michigan
MN
Minnesota
MO
Missouri
MT
Montana
NE
Nebraska
NB
New Brunswick
NH
New Hampshire
NJ
New Jersey
NC
North Carolina
ND
North Dakota
NS
Nova Scotia
OH
Ohio
ON
Ontario
OR
Oregon
PR
Puerto Rico
RI
Rhode Island
SC
South Carolina
SD
South Dakota
UT
Utah
VT
Vermont
VI
Virgin Islands
VA
Virginia
WA
Washington
WV
West Virginia
WY
Wyoming
YT
Yukon
Stroke and Manipulation 105 : Clinical Aspects of Cervical Artery Strokes
Credit Hours(s)
1.0
Instructors
Shawn Thistle, DC
Price
$20.00 USD
Format(s)
Downloadable Course in PDF, Journal Article Review, Text
Add To Cart
More Course Information ▶
Educational Objectives
Cite the strength of evidence about whether chiropractic neck manipulation causes cervical artery dissection (CAD) based on a systematic review, meta-analysis, and evaluation of the body of evidence as a whole
Summarize our current state of knowledge on cervical artery dissection and how it impacts the practice of cervical spinal manipulation
Outline the state of knowledge regarding bedside diagnosis and management of an acute vestibular syndrome, with the suspicion for stroke
Describe the demographics, past health care utilization, and comorbidities of vertebrobasilar artery stroke patients in Ontario, Canada who consulted a chiropractor within one year prior to their stroke
Analyze the nature of internal carotid artery biomechanics and associated risk of injury during cervical spinal manipulation
Approved States/Territories
AK
Alaska
BC
British Columbia
CO
Colorado
CT
Connecticut
DE
Delaware
DC
District of Columbia
FL
Florida
GA
Georgia
GU
Guam
ID
Idaho
IL
Illinois
IN
Indiana
IA
Iowa
KS
Kansas
ME
Maine
MB
Manitoba
MD
Maryland
MA
Massachusetts
MI
Michigan
MN
Minnesota
MO
Missouri
MT
Montana
NE
Nebraska
NB
New Brunswick
NH
New Hampshire
NJ
New Jersey
NC
North Carolina
ND
North Dakota
NS
Nova Scotia
OH
Ohio
ON
Ontario
OR
Oregon
PR
Puerto Rico
RI
Rhode Island
SC
South Carolina
SD
South Dakota
TN
Tennessee
UT
Utah
VT
Vermont
VI
Virgin Islands
VA
Virginia
WA
Washington
WV
West Virginia
WY
Wyoming
YT
Yukon
Stroke and Manipulation 104 : Cervical Spinal Manipulative Therapy (CSMT) and Vertebrobasilar Ischemia (VBI)
Credit Hours(s)
8.0
Instructors
Joseph Ferezy, DC, DACAN, FIACN
Price
$160.00 USD
Format(s)
AudioVisual Course
Add To Cart
More Course Information ▶
Educational Objectives
Outline methods used and estimations as to the incidence of cervical spinal manipulative therapy and subsequent vertebrobasilar ischemia.
Review and describe cerebrovascular anatomy and hemodynamics.
Discuss proposed patho-physiological mechanisms believed responsible for subsequent vertebrobasilar ischemia.
Review and discuss past and present scientific literature to explore the evolution of what we think we know about the process of cervical spinal manipulative therapy and subsequent vertebrobasilar ischemia.
Identify radiographic signs of a vertebral artery dissection.
List and discuss the uses, pros and cons of current examination tools as they apply to vertebral artery dissection.
Explore issues and examination procedures related to patient assessment as well as vertebrobasilar ischemia recognition and proper diagnosis.
Define and contrast currently suggested procedures and develop a vertebrobasilar ischemia plan of action.
Explore various perspectives and reveal bias in both public media and biomedical journals.
Identify and define new theoretical concepts and prophylactic therapies.
Give multiple examples of anti-chiropractic bias in the biomedical literature
List and describe the most common red flags for a patient “at risk” for suffering Vertebrobasilar Ischemia following cervical manipulation.
Recite list of scientific studies relating to laboratory testing of plasma Homocystine levels and its relationship to Vertebrobasilar Ischemia from vertebral artery dissection.
List examples of bias against chiropractic cited in both the popular media as well as in biomedical journals.
Critically review landmark articles regarding the issue of cervical manipulation and vertebrobasilar distribution ischemia.
List studies suggesting that a high plasma homocystine level may be associated with vertebrobasilar dissection.
Cite studies suggesting that increasing folic acid intake can reduce plasma Homocystine levels.
Identify laboratory tests that may be useful in helping calculate an individual’s risk of suffering vertebrobasilar stroke following cervical manipulation.
Approved States/Territories
AK
Alaska
BC
British Columbia
CO
Colorado
CT
Connecticut
DE
Delaware
DC
District of Columbia
FL
Florida
GA
Georgia
GU
Guam
ID
Idaho
IL
Illinois
IN
Indiana
IA
Iowa
KS
Kansas
ME
Maine
MB
Manitoba
MD
Maryland
MA
Massachusetts
MI
Michigan
MN
Minnesota
MO
Missouri
MT
Montana
NE
Nebraska
NB
New Brunswick
NH
New Hampshire
NJ
New Jersey
NC
North Carolina
ND
North Dakota
NS
Nova Scotia
OH
Ohio
ON
Ontario
OR
Oregon
PR
Puerto Rico
RI
Rhode Island
SC
South Carolina
SD
South Dakota
TN
Tennessee
UT
Utah
VT
Vermont
VI
Virgin Islands
VA
Virginia
WA
Washington
WV
West Virginia
WY
Wyoming
YT
Yukon
Stroke and Manipulation 103 : Risk, Association, Screening and Blood Flow
Credit Hours(s)
1.0
Instructors
Shawn Thistle, DC
Price
$20.00 USD
Format(s)
Downloadable Course in PDF, Journal Article Review, Text
Add To Cart
More Course Information ▶
Educational Objectives
Compare the risk of injury (via Medicare data) between two cohorts of patients treated by chiropractic spinal manipulation versus treatment by a primary care physician
Investigate the association between chiropractic manipulative treatment and vertebrobasilar artery stroke
Assess the level and quality of evidence regarding the potential association between cervical manipulation and cervical artery dissection/stroke
Evaluate the diagnostic accuracy of premanipulative vertebrobasilar tests in terms of sensitivity, specificity, predictive values and likelihood ratios in adults
Observe vertebral artery blood-flow after cervical manipulation and various head positions
Approved States/Territories
AK
Alaska
BC
British Columbia
CO
Colorado
CT
Connecticut
DE
Delaware
DC
District of Columbia
FL
Florida
GA
Georgia
GU
Guam
ID
Idaho
IL
Illinois
IN
Indiana
IA
Iowa
KS
Kansas
ME
Maine
MB
Manitoba
MD
Maryland
MA
Massachusetts
MI
Michigan
MN
Minnesota
MO
Missouri
MT
Montana
NE
Nebraska
NB
New Brunswick
NH
New Hampshire
NJ
New Jersey
NC
North Carolina
ND
North Dakota
NS
Nova Scotia
OH
Ohio
ON
Ontario
OR
Oregon
PR
Puerto Rico
RI
Rhode Island
SC
South Carolina
SD
South Dakota
TN
Tennessee
UT
Utah
VT
Vermont
VI
Virgin Islands
VA
Virginia
WA
Washington
WV
West Virginia
WY
Wyoming
YT
Yukon
Stroke and Manipulation 102 : SMT in the Medicare Population - Risks, Facts, and Figures
Credit Hours(s)
1.0
Instructors
Dean Smith, DC, PhD
Price
$20.00 USD
Format(s)
AudioVisual Course
Add To Cart
More Course Information ▶
Educational Objectives
Compare the associations of chiropractic care and stroke with primary care physician (PCP) care and stroke in the Medicare population
Quantify risk of stroke after chiropractic spinal manipulation, as compared to evaluation by a primary care physician, for Medicare beneficiaries aged 66 to 99 years with neck pain
Determine the hemodynamics in the Circle of Willis with Internal Carotid Artery Stenosis under cervical rotatory manipulation: a finite element analysis
Review compensation claims for chiropractic in Denmark and Norway 2004-2012
Examine the risk of traumatic injury associated with chiropractic SMT in the Medicare population
Approved States/Territories
AK
Alaska
BC
British Columbia
CO
Colorado
CT
Connecticut
DE
Delaware
DC
District of Columbia
FL
Florida
GA
Georgia
GU
Guam
ID
Idaho
IL
Illinois
IN
Indiana
IA
Iowa
KS
Kansas
ME
Maine
MB
Manitoba
MD
Maryland
MA
Massachusetts
MI
Michigan
MN
Minnesota
MO
Missouri
MT
Montana
NE
Nebraska
NB
New Brunswick
NH
New Hampshire
NJ
New Jersey
NC
North Carolina
ND
North Dakota
NS
Nova Scotia
OH
Ohio
ON
Ontario
OR
Oregon
PR
Puerto Rico
RI
Rhode Island
SC
South Carolina
SD
South Dakota
TN
Tennessee
UT
Utah
VT
Vermont
VI
Virgin Islands
VA
Virginia
WA
Washington
WV
West Virginia
WY
Wyoming
YT
Yukon
Stroke and Manipulation 101 - 104
Credit Hours(s)
12.0
Instructors
multiple
Price
$240.00 USD
Format(s)
AudioVisual Course, Multiple Formats, Text
Add To Cart
More Course Information ▶
Educational Objectives
This contains all courses with the educational objectives listed from Stroke and Manipulation 101 through Stroke and Manipulation 104
Approved States/Territories
AK
Alaska
BC
British Columbia
CO
Colorado
CT
Connecticut
DE
Delaware
DC
District of Columbia
FL
Florida
GA
Georgia
GU
Guam
ID
Idaho
IL
Illinois
IN
Indiana
IA
Iowa
KS
Kansas
ME
Maine
MB
Manitoba
MD
Maryland
MA
Massachusetts
MI
Michigan
MN
Minnesota
MO
Missouri
MT
Montana
NE
Nebraska
NB
New Brunswick
NH
New Hampshire
NJ
New Jersey
NC
North Carolina
ND
North Dakota
NS
Nova Scotia
OH
Ohio
ON
Ontario
OR
Oregon
PR
Puerto Rico
RI
Rhode Island
SC
South Carolina
SD
South Dakota
TN
Tennessee
UT
Utah
VT
Vermont
VI
Virgin Islands
VA
Virginia
WA
Washington
WV
West Virginia
WY
Wyoming
YT
Yukon
Stroke and Manipulation 101 : Stroke and Spinal Manipulation: Anatomy, Epidemiology, Pathogenesis of Dissections and Triggers, Neurological Syndromes, Clinical Management
Credit Hours(s)
2.0
Instructors
Dean Smith, DC, PhD
Price
$40.00 USD
Format(s)
AudioVisual Course
Add To Cart
More Course Information ▶
Educational Objectives
Illustrate the pathogenesis of CADs dissection mechanisms
Identify putative causes and triggers of CAD
Estimate the purported incidence of cerebrovascular syndromes following cervical manipulation
Distinguish between the neurological syndromes
Identify stroke risk factors in general
Assess the value of pre-manipulation testing: to screen or not to screen?
Outline the warning signs/symptoms of CAD
Indicate what to include in the patient history and examination
Describe what to do if you suspect CAD
Point out how to communicate risk to patients as well as implementing strategies to prevent CAD
Assess the current literature on the relationship between stroke and manipulation
Describe the anatomy of the blood supply to the brain
Summarize the clinical biomechanics of vertebral arteries
Outline the epidemiology and classification of cervicocerebral (vertebral and internal carotid) arterial dissections (CAD) or strokes
Recognize the diseases affecting cervicocerebral arteries
Approved States/Territories
AK
Alaska
BC
British Columbia
CO
Colorado
CT
Connecticut
DE
Delaware
DC
District of Columbia
FL
Florida
GA
Georgia
GU
Guam
ID
Idaho
IL
Illinois
IN
Indiana
IA
Iowa
KS
Kansas
ME
Maine
MB
Manitoba
MD
Maryland
MA
Massachusetts
MI
Michigan
MN
Minnesota
MO
Missouri
MT
Montana
NE
Nebraska
NB
New Brunswick
NH
New Hampshire
NJ
New Jersey
NC
North Carolina
ND
North Dakota
NS
Nova Scotia
OH
Ohio
ON
Ontario
OR
Oregon
PR
Puerto Rico
RI
Rhode Island
SC
South Carolina
SD
South Dakota
TN
Tennessee
UT
Utah
VT
Vermont
VI
Virgin Islands
VA
Virginia
WA
Washington
WV
West Virginia
WY
Wyoming
YT
Yukon
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