Alan J Taylor Profile picture
Apr 14 8 tweets 4 min read
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/
Reason 3.

Checking blood pressure may form part of your risk assessment, for example with a patient reporting ?MSK symptoms - chest/shoulder/arm pain/headache/orofacial symptoms/dizziness/falls etc.

Here is a great example via @ClementsCharl96 👀👇



4/
Reason 4.

Checking blood pressure may be a route into ‘making every contact count (MECC)’, and forming the basis of your conversation with the patient around lifestyle, diet, exercise and physical activity etc.
makingeverycontactcount.co.uk

5/
Reason 5.

Well, you were probably going to offer some exercise interventions as part of your management ... weren’t you?

It is worth considering that most gyms implement BP and other health checks, before allowing clients to embark on an exercise programme.

6/
Reason 6.Covid19.

In short, there is emerging evidence to suggest that the Covid19 pandemic (for a range of reasons) may be linked to CVD & new onset hypertension.

You owe it to your patients to check their BP, these are extraordinary times.

frontiersin.org/articles/10.33…

7/
OK, that's all very well ... 🤷‍♂️🤷

BUT what do I do if I find someone with an abnormally high BP in the clinic?

Check it ... and check it again.

If you are still concerned, you can act by making an SBAR referral. 👀👇

england.nhs.uk/improvement-hu…

8/

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More from @TaylorAlanJ

Sep 22, 2020
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
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
Apr 11, 2019
This is an interesting paper ... and the authors highlight involvement of the ICA.

BUT ... the focus on Cervical arterial dissection (CAD) ONLY is restrictive.

There is much more to risk assessment in the cervical spine than dissection. 🔎
Cervical arterial dysfunction (CAD)however, is a term that covers all arteries & all pathologies.

Confused ...?

It is confusing ...

I try to shed some light on the topic and the many acronyms here @TrustmePhysio 👀👇👇👇👇

youtube.com/channel/UC9lb2…
Perhaps the use of the term CADf might help reduce the confusion...?
@NathanHutting
Read 4 tweets

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