45
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
