Vertebrobasilar Insufficiency (VBI)
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 2 September 2020
⏱️ 13 minutes
🧾️ Download transcript
Summary
Are you looking for an awesome cheatsheet that reviews the facts to know about VBI testing for the NPTE?
Look no further: https://www.nptecheatsheet.com/vbi
Martin is treating a 45-year-old male with recurrent neck pain and joint hypomobility. Before initiating end-range cervical mobilizations, the therapist would like to assess for vertebrobasilar insufficiency. To check the left vertebral artery, the MOST effective position to place the patient’s head and neck is:
A. Flexion
B. Extension
C. Right rotation
D. Left rotation
Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck.
Transcript
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| 0:00.0 | I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide. |
| 0:09.0 | It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE. |
| 0:16.0 | Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see the life I |
| 0:22.5 | have today, a life filled with love, financial freedom, and a dream job that allows me to change |
| 0:28.2 | lives every single day. I created the NPTE Clinical Files podcast to give you simple, |
| 0:34.4 | actionable strategies, along with a step-by-step walkthrough of NPTE-based questions. |
| 0:40.5 | All of this so that you can dominate your exam like I did and achieve your dream. |
| 0:45.5 | So if you're a driven PT student who's looking to pass the NPTE and start creating a life |
| 0:50.8 | you love, you're in the right place. |
| 0:53.1 | Enjoy the show. |
| 0:54.3 | For this week's clinical file, we have Martin, and Martin is treating a 45-year-old male |
| 1:00.8 | with recurrent neck pain and joint hypomobility. |
| 1:04.3 | Before initiating end-range cervical mobilizations, the therapist would like to assess for vertebral basler insufficiency. |
| 1:15.7 | To check the left vertebral artery, the most effective position to place the patient's head and |
| 1:23.8 | neck is. So we have a flexion. We have B extension. We have C right rotation and we have D, |
| 1:34.4 | which is left rotation. Let's make this happen. So we go up to the top. We have Martin. And Martin |
| 1:43.1 | is treating this 45 year old male with recurrent neck pain |
| 1:47.8 | and joint hypomobility, right? So that's a pretty straightforward statement. Makes sense, right? |
| 1:55.2 | We got somebody with recurrent neck pain, joint hypomobility, most likely we're talking about the cervical |
| 1:59.6 | spine. Cool, pretty straightforward. |
| 2:01.7 | Let's go over to the next sentence. It says before initiating end range cervical mobilizations |
| 2:07.9 | to address that hypomobility, the therapist would like to assess for vertebro-basilar insufficiency. |
... |
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