A guide to identify cervical autonomic dysfunctions (and associated conditions) in patients with musculoskeletal disorders in physical therapy practice

Mourad, Firas; Giudice, Andrea; Maritati, Giorgio; Maselli, Filippo; Kranenburg, Rik; Taylor, A.B.; Kerry, Roger; Hutting, Nathan

doi:10.1016/j.bjpt.2023.100495

Cited by 3 publications

(1 citation statement)

References 90 publications

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“…The purpose of the cardiovascular parameters measurements, including during physical exertion, is to continue monitoring the cardiovascular hypothesis—under stressful conditions for the whole cardiovascular system—generated during the history. This provides support the clinicians’ decision making for a personalized and safe prescription of exercises or for a medical referral for further investigation [ 105 , 106 , 107 , 108 ].…”

Section: Discussionmentioning

confidence: 99%

Physiotherapy Screening for Referral of a Patient with Patent Foramen Ovale Presenting with Neck Pain as Primary Complaint: A Case Report

et al. 2023

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Neck pain is a common musculoskeletal disorder encountered by physiotherapists. However, it may be the early manifestation of more alarming conditions, such as cardiovascular diseases mimicking musculoskeletal pain. Patent foramen ovale (PFO) is a congenital heart defect consisting of a small opening between the right and the left atrium. A 56-year-old male presented with neck pain and head heaviness as primary complaints. The cardiovascular profile and the behavioral symptoms led the physiotherapist to find an exaggerated blood pressure response during exercise; in addition to subtle neurological signs, this prompted the physiotherapist to make an urgent referral. At the emergency department a PFO was diagnosed. To the best of the authors’ knowledge, this is the first case to describe a rare clinical presentation of a PFO presenting neck pain as primary complaint. This case report emphasizes the importance for physiotherapists to be able to triage patients for conditions outside their scope suggestive of further medical investigation.

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Section: Discussionmentioning

confidence: 99%

Physiotherapy Screening for Referral of a Patient with Patent Foramen Ovale Presenting with Neck Pain as Primary Complaint: A Case Report

et al. 2023

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Recognition of a patient with neck autonomic dysfunction: findings from a rare case report of harlequin syndrome in direct access physiotherapy

Mourad,

Scotto,

Dunning

et al. 2024

Journal of Manual & Manipulative Therapy

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A Rare Case of a Good Neurological Outcome following Traumatic Foix-Chavany-Marie Syndrome

Arki,

Degen,

Gruber

et al. 2024

Case Reports in Critical Care

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Traumatic brain injury (TBI) can have profound acute and chronic effects, leading to permanent disabilities and diminished quality of life. Pseudobulbar palsy and its infrequent subtype, Foix-Chavany-Marie Syndrome (FCMS), represent rare complications of TBI, manifesting as deficits in craniofacial motor function and automatic-voluntary dissociation. We present a case of a 58-year-old male who developed FCMS following severe TBI from a cycling accident. Initial imaging revealed extensive brain injury with subsequent development of FCMS characterised by bilateral cranial nerve dysfunction, notably facio-pharyngo-glosso-masticatory diplegia with preserved automatic motor function. This case contributes to the limited literature on traumatic FCMS, highlighting its distinct clinical features and potential for favourable outcomes compared to nontraumatic cases. Early recognition and comprehensive management, including supportive therapy and addressing underlying conditions, are paramount for optimising patient outcomes.

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A guide to identify cervical autonomic dysfunctions (and associated conditions) in patients with musculoskeletal disorders in physical therapy practice

Cited by 3 publications

References 90 publications

Physiotherapy Screening for Referral of a Patient with Patent Foramen Ovale Presenting with Neck Pain as Primary Complaint: A Case Report

Physiotherapy Screening for Referral of a Patient with Patent Foramen Ovale Presenting with Neck Pain as Primary Complaint: A Case Report

Recognition of a patient with neck autonomic dysfunction: findings from a rare case report of harlequin syndrome in direct access physiotherapy

A Rare Case of a Good Neurological Outcome following Traumatic Foix-Chavany-Marie Syndrome

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