대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제10권1호
  • /
  • Pages.115-120
  • /
  • 2015
  • /
  • 1975-311X(pISSN)
  • /
  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
권호 표지
DOI QR코드

DOI QR Code

머리회전과 측정자세에 따른 뒤대뇌동맥의 혈류속도 변화

Changes in Posterior Cerebral Artery Blood flow Velocity Following Head rotation and body Positioning

  • 박민철 (부산가톨릭대학교 보건과학대학 물리치료학과) ;
  • 김종순 (부산가톨릭대학교 보건과학대학 물리치료학과)
  • Park, Min-Chull (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan) ;
  • Kim, Jong-Soon (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan)
  • 투고 : 2015.02.12
  • 심사 : 2015.02.19
  • 발행 : 2015.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

PURPOSE: Vertebrobasilar insufficiency (VBI) should be carefully assessed in patient for whom manipulation of the cervical spine is to be undertaken. The purpose of this study was to investigate the changes in posterior cerebral artery blood flow velocity following head and body positioning by transcranial doppler ultrasonography (TCD) in healthy subjects. METHODS: Twenty two healthy female (mean age $20.77{\pm}1.30yrs.$) participants volunteered to participate in the study. None of the participants had a history of neck pain or headache within the last 6 months. To evaluate the cerebral blood flow, we measured the mean flow velocity of the posterior cerebral artery unilaterally (right side). The blood flow velocity was measured under 3 different head positions (in a neutral head position, ipsilateral head rotation and contralateral head rotation position) and 2 different body conditions (supine position and sitting position). RESULTS: The mean blood flow velocity of posterior cerebral artery was decreased in body positioning from supine to sitting (p<.05), but the decreased rate of blood flow velocity in posterior cerebral artery did not change significantly between ipsilateral head rotation and contralateral head rotation (p>.05). CONCLUSION: These result of our study show that body positioning (sitting and supine) affect the blood flow velocity in posterior cerebral artery.

키워드

참고문헌

  1. Australian Physicaltherapy Association. Clinical guidelines for assessing vertebrobasila insufficiency in the management of cervical spine disorders. Australia. Australian Physicaltherapy Association. 2006.
  2. Bowler N, Shamley D , Davis R. The effect of a simulated manipulation position on internal carotid and vertebral artery blood flow in healthy individual. Man Ther. 2011;16(1):87-93. https://doi.org/10.1016/j.math.2010.07.007
  3. Cho HJ, Kim JS, Lee JY, et al. A study on effects of CO2 Pneumoperitoneum and Trendelenburg position on arterial acid-base balance and middle cerebral artery hemodynamics in gynecologic laparoscopic surgery. Obstetrics & Gynecology Science. 2002;45(11):2001-6.
  4. Chun JH. The effects of combined exercise training on baPWV and common carotid artery blood flow velocities in elderly women. Journal of Korean Physical Education Association for Girls and Women. 2013;27(4):161-72.
  5. Hutting N, Verhagen AP, Vijverman V, et al. Diagnosis accuracy of premanipulative vertebrobasila insufficiency test : A systematic review. Man Ther. 2013;18(3):177-82. https://doi.org/10.1016/j.math.2012.09.009
  6. Kerry R, Taylor AJ, Mitchell J, et al. Cervical arterial dysfunction and manual therapy: A critical literature review to inform professional practice. Man Ther. 2008;13(4):278-88. https://doi.org/10.1016/j.math.2007.10.006
  7. Kerry R, Taylor AJ. Cervical arterial dysfunction assessment and manual therapy. Manl Ther. 2006;11(4):243-53 https://doi.org/10.1016/j.math.2006.09.006
  8. Kim JW. Maximum exercise in 20 men common carotid artery blood flow velocity impact. Journal of the Korean Society of Radiology. 2009;3(4):5-12.
  9. Kim MK, Park YJ ,Kim KT. Difference analysis of cerebral blood flow according to exercise type and intensity. Journal of Sport and Leisure Studies. 2011;43:683-93.
  10. Kim YJ, Park SW, Lee KM, et al. Changes in middle cerebral artery blood flow velocity after the intravenous injection of Lidocaine by transcranial doppler. Korean J Anesthesiol. 2003;45(5):632-5. https://doi.org/10.4097/kjae.2003.45.5.632
  11. Mitchell J. Vertebral artery blood flow velocity changes associated with cervical spine rotation: a meta-analysis of the evidence with implications for professional practice. J Man Manip Ther. 2009;17(1):46-57. https://doi.org/10.1179/106698109790818160
  12. Modin Alu. The effect of gravity on blood volumes in the main cervical arteries in healthy humans. Aviakosm Ekolog Med. 2002;36(5):23-5.
  13. Modin Alu, Shashkov VS. The effect of gravity on linear velocity of blood flow along the arterial bed in healthy humans. Aviakosm Ekolog Med. 2002;36(4):26-9.
  14. Park SM, Kim YK, Kwon JN, et al. Cerebral blood flow as measured by TCD in hyperlipidemic group. Korean J Oriental Physiology & Pathology. 2009;23(6):1513-20.
  15. Quesnele JJ, Triano JJ, Noseworthy MD, et al. Changes in vertebral artery blood flow following various head positions and cervical spine manipulation. J manipulative physiological therapeutics. 2014;37(1):22-31. https://doi.org/10.1016/j.jmpt.2013.07.008
  16. Taylor AJ, Kerry R. A 'system based' approach to risk assessment of the cervical spine prior to manual therapy. Int J Osteopath Med. 2010;13(3):85-93. https://doi.org/10.1016/j.ijosm.2010.05.001
  17. Thomas LC, Mcleod LR, Osmotherly PG, et al. The effect of end-range cervical rotation on vertebral and internal carotid arterial blood flow and cerebral inflow: a sub analysis of an MRI study. Man Ther. 2014;29:1-6.
  18. Tinel D, Bliznakova E, Juhel C, et al. Vertebrobasilar ischemia after cervical manipulation: A case report. Ann readapt med phys. 2008;51(5):403-14. https://doi.org/10.1016/j.annrmp.2008.04.010
  19. Vizniak NA. Quick reference evidence-based physical assessment. Canada. Professional Health System Inc. 2008.

피인용 문헌

  1. Smoking cessation programmes using traditional medicine in Korea vol.16, pp.1, 2016, https://doi.org/10.1186/s12906-016-1462-9
  2. Clinical Effectiveness of Traditional and Complementary Medicine Interventions in Combination with Nicotine Replacement Therapy on Smoking Cessation: A Randomized Controlled Pilot Trial vol.25, pp.5, 2019, https://doi.org/10.1089/acm.2019.0009