Rotational Injury of the Rotational Injury of the vertebral arteryvertebral artery

Are physical therapists (P.T.) in

Jeddah hospitals oriented with the

importance of the VBI testing in

patients with cervical spondylosis ?

Some physical therapy departments in Jeddah doesn't require the VBI test as routine

examination for patients with cervical

spondylosis.

They may use cervical manipulation as a

treatment procedure which may lead to

stroke.

SPTA doesn’t require it also.

Selected physical therapists from

different hospitals with the age

ranging from 25-35 years old.

Q. From your point of view do you Q. From your point of view do you

think that manipulation of cervical think that manipulation of cervical

region can lead to stroke?region can lead to stroke?

1-Yes 1-Yes

2-No2-No

3- I don't know3- I don't know

Q. If your answer is yes, what do Q. If your answer is yes, what do you you

think the cause is?think the cause is?

1-Cord compression.1-Cord compression.

2-Vertebrobasilar insufficiency.2-Vertebrobasilar insufficiency.

3-Posterior osteophytes.3-Posterior osteophytes.

4-I don't know.4-I don't know.

Q. Which of these following examinations you

believe that it's used abroad and not here?

1-Myotome assessment.

2-VBI assessment.

3-Superficial sensory assessment.

4-Pain assessment.

5-All of the above.

6-I don't know.

Q. Do you know any information Q. Do you know any information

about vertebrobasilar insufficiency about vertebrobasilar insufficiency

test?test?

1-Yes.1-Yes.

2-No.2-No.

The questionnaire was distributed to The questionnaire was distributed to physical therapist in different physical therapist in different hospitals to answer the questions hospitals to answer the questions within 10 minutes and then it was within 10 minutes and then it was collected from them without any collected from them without any direction from the researchers about direction from the researchers about the meaning of questionsthe meaning of questions . .

""Which of these following examinations Which of these following examinations

you believe that it's used abroad and you believe that it's used abroad and not not

here?"here?"

pain assessment

superficial sensoryassess.

VBI test

myotom assessment

I don't know

all of the above

““From your point of view do you From your point of view do you

think that manipulation of cervical think that manipulation of cervical

region can lead to stroke?”region can lead to stroke?”

I don't know

yes

no

““If your answer is yes, what do If your answer is yes, what do youyou

think the cause isthink the cause is”?”?

posteriorcompressioncord compression

VBI test

I don't know

"Do you know any information "Do you know any information about about

vertebrobasilar insufficiency vertebrobasilar insufficiency test?"test?"

yes

no

The results of this study revealed that the The results of this study revealed that the

majority (70%) of P.T. reported that VBImajority (70%) of P.T. reported that VBI

test is used abroad .test is used abroad .

This is drawn from the answers of a This is drawn from the answers of a questionquestion

where P.T. chose the answer of “VBI where P.T. chose the answer of “VBI

assessment” when asked about the assessment” when asked about the

examinations used abroad.examinations used abroad.

The highest percentage of answers of The highest percentage of answers of

the 9th question, which was about the the 9th question, which was about the

cause of stroke after manipulation, cause of stroke after manipulation,

was for the answer of “I do not know”. was for the answer of “I do not know”.

Which indicates that P.T. have no idea Which indicates that P.T. have no idea

about the dangers that may about the dangers that may

accompany their treatment techniques accompany their treatment techniques

in those patients.in those patients.

About 60% of P.T. answered About 60% of P.T. answered frankly that they have not any frankly that they have not any information about VBI testinformation about VBI test..

Some P.T. in Jeddah hospitals Some P.T. in Jeddah hospitals needneed

to pay attention to the to pay attention to the importanceimportance

of VBI test and the dangers that of VBI test and the dangers that maymay

result when dealing with result when dealing with patientspatients

with cervical spondylosiswith cervical spondylosis..

• Hospital regulations of P.T. Hospital regulations of P.T.

examinations of cervical examinations of cervical spondylosisspondylosis

need to be revisedneed to be revised. .

• Work shops can be carried out by Work shops can be carried out by

experts about importance andexperts about importance and

procedures of VBI test for saudi procedures of VBI test for saudi P.TP.T..

• Similar study is recommended for

larger sample of P.T. and in different

cities in Saudi Arabia other than Jeddah.

Dr.Mohammad Sayem Al-DaharDr.Mohammad Sayem Al-Dahar

Dr. Enas El-Sayed

P.T. Osama Jan

physiotherapy departmentsphysiotherapy departments

Dr. Gannat RamadanDr. Gannat Ramadan

Dr. Sanaa Al-MarzoukiDr. Sanaa Al-Marzouki

Ruba Al-MarzoukiRuba Al-Marzouki

Our parentsOur parents