Pathophysiology & Symptomology of Migraine Headaches

November 10, 2016 by Sian Smale

I'm sure you are all aware that different headache types exist as different clinical entities, but do you know the distinct features of each that aid in our differential diagnosis? Do you know what mechanisms underlie the headache felt in a migraine and what an aura actually is?

The purpose for this blog is to delve deeper into the specifics of primary headaches such as migraine with and without aura and TTH with the aim of better differentiating them from other headache types and recognising red flags.

Does the audible pop matter? The neurophysiology of manipulation

August 04, 2015 by Sian Smale

Does the audible pop matter when performing a high-velocity low-amplitude thrust technique? Let's explore the neurophysiological mechanisms relating to spinal manipulation and learn about the pain relieving effects. This blog also includes a discussion about the barriers to using manipulation and my personal experience with learning them.

Neurophysiological mechanism of mobilisation

July 21, 2015 by Sian Smale

For this blog I'd like to explore the findings of several research papers exploring the effects of mobilisation on the spine. Let's explore the research investigating the local and systemic impact of mobilisation, as well as the different elements of dosage.

To use a different style of writing though.... this blog is in the format of an annotated bibliography. An annotated bibliography is a summary of a research paper that provides a critical review, identifies how it is applicable to current knowledge base, provides a description of the paper's purpose, study design and other important elements and gives an opinion on why it is valuable to know about.

Chain reaction - the neurophysiological mechanism of manual therapy

July 11, 2015 by Sian Smale

Why is it important to understand the neurophysiology effects of manual therapy? Because we are interested in the elements that determine success of treatment: to ensure that the most appropriate treatment modality is selected for the problem and client, and to enhance the therapist' ability to identify those suitable and likely to respond favourably to treatment.

But do we actually know how it all works?

This blog explores the proposed neurophysiological mechanisms involved in the processing of mechanical stimulation in manual therapy that results in a positive effect.

Cervicogenic dizziness & Sensorimotor Dysfunction

March 06, 2015 by Sian Smale

Cervicogenic dizziness is a non-specific symptom of altered orientation in space and disequilibrium and is differentiated from specific causes of dizziness such as vertigo and vertebra-basilar artery insufficiency. It is thought be a result of altered afferent inputs which affect sensorimotor control and our sense of balance. This blog aims to introduce sensorimotor function and cervicogenic dizziness. Following blogs will explore the distinguishing features, differential diagnosis and targeting physiotherapy interventions.