PDF(Sci-hub)
Abstract：
Safety with upper cervical interventions is a frequently discussed and updated concern for physical therapists, chiropractors and osteopaths. IFOMPT developed the framework for safety assessment of the cervical spine, and this topic has been discussed in-depth with past masterclasses characterizing carotid artery dissection and cervical arterial dysfunction. Our masterclass will expand on this information with knowledge of specific anatomical anomalies found to produce Eagle\'s syndrome, and cause carotid artery dissection, stroke and even death. Eagle\'s syndrome is an underdiagnosed, multi-mechanism symptom assortment produced by provocation of the sensitive carotid space structures by styloid process anomalies. As the styloid traverses between the internal and external carotid arteries, provocation of the vessels and periarterial sympathetic nerve fibers can lead to various neural, vascular and autonomic symptoms. Eagle\'s syndrome commonly presents as neck, facial and jaw pain, headache and arm paresthesias; problems physical therapists frequently evaluate and treat.
This masterclass aims to outline the safety concerns, assessment and management of patients with Eagle\'s syndrome and styloid anomalies. By providing evidence of this common anomaly found in almost one-third of the population, hypothesis generation and clinical reasoning with patients presenting with head and neck symptoms can improve.
Including styloid anomalies as potential hypotheses for patients with head and neck complaints can assist therapists in safe practice and expedite referral. The authors recommend updating the IFOMPT framework to incorporate Eagle\'s syndrome, a comprehensive autonomic assessment, and palpation of the stylohyoid complex to avoid potentially serious complications from conceivably hazardous interventions.
This masterclass aims to outline the safety concerns, assessment and management of patients with Eagle\'s syndrome and styloid anomalies. By providing evidence of this common anomaly found in almost one-third of the population, hypothesis generation and clinical reasoning with patients presenting with head and neck symptoms can improve.
Including styloid anomalies as potential hypotheses for patients with head and neck complaints can assist therapists in safe practice and expedite referral. The authors recommend updating the IFOMPT framework to incorporate Eagle\'s syndrome, a comprehensive autonomic assessment, and palpation of the stylohyoid complex to avoid potentially serious complications from conceivably hazardous interventions.
摘要：
上颈椎干预的安全性是物理治疗师经常讨论和更新的问题。脊医和骨科医生。IFOMPT开发了颈椎安全评估框架，该主题已与过去的以颈动脉夹层和颈动脉功能障碍为特征的大师班进行了深入的讨论。我们的大师班将扩大与特定的解剖异常发现发现产生鹰的综合征的知识的信息，导致颈动脉夹层,中风甚至死亡.老鹰综合症是一种未被诊断的综合症,茎突异常激发敏感颈动脉空间结构产生的多机制症状分类。当茎突穿过颈内动脉和颈外动脉时，血管和动脉周围交感神经纤维的激发可以导致各种神经,血管和自主神经症状。鹰综合征通常表现为颈部，面部和下巴疼痛，头痛和手臂感觉异常；物理治疗师经常评估和治疗的问题。
这个大师班旨在概述安全问题，鹰综合征和茎突异常患者的评估和管理。通过提供在近三分之一人口中发现的这种常见异常的证据，假设的产生和临床推理与患者出现头颈部症状可以改善。
将茎突异常作为头颈部疾病患者的潜在假设，可以帮助治疗师进行安全实践并加快转诊。作者建议更新IFOMPT框架，以纳入鹰综合征，全面的自主评估，和触诊茎舌骨复合体，以避免可能的危险干预措施带来的潜在严重并发症。
这个大师班旨在概述安全问题，鹰综合征和茎突异常患者的评估和管理。通过提供在近三分之一人口中发现的这种常见异常的证据，假设的产生和临床推理与患者出现头颈部症状可以改善。
将茎突异常作为头颈部疾病患者的潜在假设，可以帮助治疗师进行安全实践并加快转诊。作者建议更新IFOMPT框架，以纳入鹰综合征，全面的自主评估，和触诊茎舌骨复合体，以避免可能的危险干预措施带来的潜在严重并发症。
