Alan J Taylor Profile picture
Sep 22, 2020 8 tweets 3 min read Read on X
1/ So here is the final result on the Cranial Nerves poll.

>50% responded that they were not taught CN’s at University

In addition 56% who WERE taught it suggested they were not comfortable acting on the findings.
2/ It is worth reflecting on the fact that most trained PT’s will assess neurological function in suspected upper limb and lower limb neurological dysfunction ... BUT NOT routinely in the cervical-cranial region.
3/ For a profession that positions itself as able ‘First Contact Practitioners’ for MSK conditions, that HAS to to be an #AFI

Serious adverse events related to cervical-cranial neurovascular dysfunction = Vision loss, Stroke or Death
4/ There are some great resources from @geekymedics to guide the neurological assessment of the cervical-cranial region geekymedics.com/cranial-nerve-…
5/ Cranial nerve testing is just ONE component part of risk assessment in cervical-cranial cases, which MAY help guide clinical reasoning.

#Physiotherapy #PhysicalTherapy #FCP #NeurologicalExamination
6/ Here is guide which presents an overview of each cranial nerve with a concise summary of examination techniques.

onlinelibrary.wiley.com/doi/full/10.10…
7/ Thanks to everyone who responded to the survey 👏👏
@threadreaderapp unroll please.

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Alan J Taylor

Alan J Taylor Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @TaylorAlanJ

May 19, 2022
Six reasons to assess the cranial nerves in the MSK clinic.

A thread 🧵

Reason 1.
You assess and manage patients with neck pain/ headache/orofacial symptoms
#Physio #Physiotherapy #PhysicalTherapy
Reason 2.
You routinely assess neurological function when you encounter
1. Distal symptoms in the upper limb
2. Distal symptoms in the lower limb
It is logical therefore to do the same when it comes to the neck/head/face
Reason 3.
You will see patients who complain of post trauma/insidious onset dizziness/nausea/visual disturbances
... which may or may not be linked to CN dysfunction.
CN testing should form part of your routine risk assessment. pubmed.ncbi.nlm.nih.gov/34182898/
Read 6 tweets
Apr 14, 2022
6 reasons to take #BloodPressure in the MSK physiotherapy clinic.

A thread to ponder over Easter 🧵

#Haemodynamics #Physio #PhysicalTherapy #Hypertension

1/
Reason 1.

Vital signs tell you lots about the patient’s general health.

The 2 minutes it takes to check someone’s blood pressure may impact directly on your clinical reasoning and subsequent management.

2/
Reason 2.

High blood pressure is generally asymptomatic, so you wouldn’t know if the person sitting in front of you might be hypertensive.

... Unless you take the time to check.

3/
Read 8 tweets
Aug 24, 2020
Risk Assessment of the cervical spine for NON-MANUAL THERAPISTS

4 case scenarios, to problem solve #RISK in the assessment & management of neck pain presentations.

#ClinicalReasoning #Physiotherapy #PhysicalTherapy #FCP #Haemodynamics #VertebralArtery
Case 1.

Mayumi a 69 year old male archer (retired factory worker).

#ClinicalReasoning #FCP #Physiotherapy #PhysicalTherapy #Haemodynamics
Case 2.

Phil a 41 year male sports shop proprietor and ex-olympic rower.

#ClinicalReasoning #FCP #Physiotherapy #PhysicalTherapy #Haemodynamics
Read 5 tweets
Aug 21, 2020
The Vertebral Artery Test Part II:

Risk assessment of the cervical spine

4 clinical cases to try and make sense of risk assessment.

Of interest to ALL #Physiotherapy #PhysicalTherapy #FCP clinicians #Neck #Headache #Haemodynamics #Risk #VBI #CAD

A consideration of major or serious adverse events.

#Risk #LossOfVision #Stroke #Death #VBI #CarotidArtery #CAD Image
Into the 4th decade we go!

#Physio #PhysicalTherapy #VBI #CervicalSpine #Risk

How do we move forward from here? Image
Read 5 tweets
Jul 22, 2020
Covid-19 Linked To Life-Threatening Blood Clots in ARTERIES of Lower Extremities

"Awareness of lower limb arterial thrombosis as a possible complication of COVID-19 is important for all providers who take care of these patients” #Physio #PhysicalTherapy cathlabdigest.com/content/covid-…
#Physio #FCP ‘s
Time to brush up on your haemodynamics ✅

"We found that arterial thrombosis associated with COVID-19 infection was characterized by dire outcomes, namely strikingly increased rates of amputation and death, which in our series were 25% and 38%, respectively,"
Be aware that arterial complications will likely present as PAIN in the early stages.

There may be an exercise induced component.

That may be down to deconditioning or fatigue OR it may be due to underlying pathology.

#Haemodynamics #COVID19
Read 4 tweets
Jul 8, 2019
#Mindfulness OR #McMindfulness ?

#Sociology

“Stress has been pathologised and privatised, and the burden of managing it outsourced to individuals. Hence the pedlars of mindfulness step in to save the day.”
“If we are unhappy about being unemployed, losing our health insurance, and seeing our children incur massive debt through college loans, it is our responsibility to learn to be more mindful.”
“This has come about partly because proponents of mindfulness believe that the practice is apolitical, and so the avoidance of moral inquiry and the reluctance to consider a vision of the social good are intertwined.”
Read 11 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(